Henderson, Alex Andrew

Henderson, Alex Andrew is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Henderson, Alex Andrew can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-5155
Phone: (417) 875-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2015017261 Missouri
Allopathic & Osteopathic Physicians / Urology 208800000X 2020015781 Missouri

Profile Details

NPI number 1336521764
LBN Legal business name Henderson, Alex Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Oct 31st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336521764 NPPES
Missouri MEDICAID 200030761

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