Henderson, James G

Henderson, James G is an individual health care provider with primary practice located at 3415 53Rd Ave , Bettendorf IA 52722-6976. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henderson, James G can be contacted via phone (563) 742-4370.

Contact Information

Primary practice address
3415 53Rd Ave Bettendorf IA 52722-6976
Phone: (563) 742-4370
Fax: (309) 558-7026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33996 Iowa

Profile Details

NPI number 1750353223
LBN Legal business name Henderson, James G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Feb 5th, 2015 - about 11 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 1750353223 NPPES
Iowa Other 40379 WELLMARK
Iowa MEDICAID 1750353223 WELLMARK
Iowa Other P01170195 WELLMARK

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