Henderson, Shasta Elizabeth

Henderson, Shasta Elizabeth is an sole proprietor health care provider with primary practice located at 18 Deatrick Dr , Gettysburg PA 17325. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Henderson, Shasta Elizabeth can be contacted via phone (717) 339-2500.

Contact Information

Primary practice address
18 Deatrick Dr Gettysburg PA 17325
Phone: (717) 339-2500
Fax: (717) 339-2502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD465896 Pennsylvania

Profile Details

NPI number 1316383953
LBN Legal business name Henderson, Shasta Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated Jul 16th, 2019 - about 5 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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