Henderson, Stephen Brown
Henderson, Stephen Brown is an sole proprietor health care provider with primary practice located at 2308 Homer Clayton Dr , Guntersville AL 35976-2206. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Henderson, Stephen Brown can be contacted via phone (256) 582-2581.Contact Information
Primary practice address
2308 Homer Clayton Dr
Guntersville AL 35976-2206
Phone: (256) 582-2581
Fax: (256) 582-7799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9278 | Alabama |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 9278 | Alabama |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 9278 | Alabama |
Profile Details
| NPI number | 1366523110 |
|---|---|
| LBN Legal business name | Henderson, Stephen Brown |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Apr 1st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366523110 | NPPES |
| Alabama | MEDICAID | 144869 | |
| Alabama | MEDICAID | 144705 |
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