Henderson, Rick A

Henderson, Rick A is an individual health care provider with primary practice located at 100 Healthy Way Suite 1120, Anderson SC 29621-7915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Henderson, Rick A can be contacted via phone (864) 512-4530.

Contact Information

Primary practice address
100 Healthy Way Suite 1120 Anderson SC 29621-7915
Fax: (864) 512-4540
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2005-00371 North Carolina

Profile Details

NPI number 1487667523
LBN Legal business name Henderson, Rick A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Mar 24th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487667523 NPPES
North Carolina MEDICAID 5913253
North Carolina MEDICAID 376220

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