Henderson, Marty

Henderson, Marty is an individual health care provider with primary practice located at 7150 Clearvista Dr , Indianapolis IN 46256-1695. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Henderson, Marty can be contacted via phone (317) 621-8590.

Contact Information

Primary practice address
7150 Clearvista Dr Indianapolis IN 46256-1695
Phone: (317) 621-8590
Fax: (317) 621-7884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2939972 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28177570A Indiana

Profile Details

NPI number 1922058874
LBN Legal business name Henderson, Marty
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 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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