Henderson, David Eugene

Henderson, David Eugene is an sole proprietor health care provider with primary practice located at 1 Carpet Alley , Madison IN 47250. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Henderson, David Eugene can be contacted via phone (812) 265-2011.

Contact Information

Primary practice address
1 Carpet Alley Madison IN 47250
Phone: (812) 265-2011
Fax: (812) 273-1769
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000436A Indiana

Profile Details

NPI number 1902804560
LBN Legal business name Henderson, David Eugene
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Jun 27th, 2024 - about last year

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 1902804560 NPPES
Indiana MEDICAID 100148890A
Indiana Other 257980A
Indiana Other 35-1787467
Indiana Other 000000087922
Indiana Other 411730

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