Henderson, Donald W

Henderson, Donald W is an individual health care provider with primary practice located at 3306 Lake Ariel Hwy , Honesdale PA 18431-7685. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Henderson, Donald W can be contacted via phone (570) 253-0148.

Contact Information

Primary practice address
3306 Lake Ariel Hwy Honesdale PA 18431-7685
Phone: (570) 253-0148
Fax: (570) 251-7816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD020397E Pennsylvania

Profile Details

NPI number 1689653560
LBN Legal business name Henderson, Donald W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Feb 22nd, 2011 - about 15 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 1689653560 NPPES
Pennsylvania MEDICAID 1000337

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