Henderson, Erin Marie

Henderson, Erin Marie is an individual health care provider with primary practice located at 61 S Gould St , Sheridan WY 82801-6304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Henderson, Erin Marie can be contacted via phone (307) 675-2690.

Contact Information

Primary practice address
61 S Gould St Sheridan WY 82801-6304
Phone: (307) 675-2690
Fax: (307) 675-2691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50126 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TL7953 Wyoming
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16319A Wyoming

Profile Details

NPI number 1063663102
LBN Legal business name Henderson, Erin Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Dec 27th, 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 1063663102 NPPES
Colorado MEDICAID 46054561

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