Henderson, Pamela Renee

Henderson, Pamela Renee is an individual health care provider with primary practice located at 299 Carew St Ste 400, Springfield MA 01104-2361. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Henderson, Pamela Renee can be contacted via phone (413) 733-1818.

Contact Information

Primary practice address
299 Carew St Ste 400 Springfield MA 01104-2361
Phone: (413) 733-1818
Fax: (413) 732-2341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 215993 Massachusetts

Profile Details

NPI number 1134122666
LBN Legal business name Henderson, Pamela Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Nov 30th, 2012 - about 14 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 1134122666 NPPES
Massachusetts MEDICAID 0178501

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