Henderson, Theresa S
Henderson, Theresa S is an individual health care provider with primary practice located at 8244 E Us Highway 36 Suite 210, Avon IN 46123-9575. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Henderson, Theresa S can be contacted via phone (317) 272-7337.Contact Information
Primary practice address
8244 E Us Highway 36 Suite 210
Avon IN 46123-9575
Phone: (317) 272-7337
Fax: (317) 272-8534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01045901A | Indiana |
Profile Details
| NPI number | 1699760645 |
|---|---|
| LBN Legal business name | Henderson, Theresa S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Mar 5th, 2021 - about 3 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 | 1699760645 | NPPES |
| Indiana | MEDICAID | 200281970A |
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