Henderson, Colin James

Henderson, Colin James is an individual health care provider with primary practice located at 19021 Hwy 285 Conejos County Hospital, La Jara CO 81140. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Henderson, Colin James can be contacted via phone (719) 274-5121.

Contact Information

Primary practice address
19021 Hwy 285 Conejos County Hospital La Jara CO 81140
Phone: (719) 274-5121
Fax: (719) 274-6047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2010-0141 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 33059 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2010-0141 New Mexico

Profile Details

NPI number 1982720348
LBN Legal business name Henderson, Colin James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Dec 16th, 2019 - about 6 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 1982720348 NPPES
Colorado MEDICAID 01330596

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