Henderson, Derek

Henderson, Derek is an individual health care provider with primary practice located at 3726 Broadway Ste 201 , Everett WA 98201-3788. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Henderson, Derek can be contacted via phone (425) 317-9119.

Contact Information

Primary practice address
3726 Broadway Ste 201 Everett WA 98201-3788
Phone: (425) 317-9119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1680 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1871038109
LBN Legal business name Henderson, Derek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2016
Last updated Feb 19th, 2021 - about 5 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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