Henderson, Reggie Allan

Henderson, Reggie Allan is an individual health care provider with primary practice located at 200 W Church St , Lexington TN 38351-2038. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Henderson, Reggie Allan can be contacted via phone (731) 968-3646.

Contact Information

Primary practice address
200 W Church St Lexington TN 38351-2038
Phone: (731) 968-3646
Fax: (731) 968-1870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12019 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12019 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12019 Tennessee
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 12019 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12019 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 12019 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12019 Tennessee

Profile Details

NPI number 1528058765
LBN Legal business name Henderson, Reggie Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jun 14th, 2024 - about 2 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 1528058765 NPPES
Tennessee Other 4057341 BLUE CROSS BLUE SHIELD
Tennessee Other 626001636 BLUE CROSS BLUE SHIELD
Tennessee Other 152666 BLUE CROSS BLUE SHIELD
Tennessee Other JT1012 BLUE CROSS BLUE SHIELD
Tennessee Other P00034973 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3189726 BLUE CROSS BLUE SHIELD
Tennessee Other 626001636 BLUE CROSS BLUE SHIELD
Tennessee Other 27415 BLUE CROSS BLUE SHIELD
Tennessee Other 626001636 BLUE CROSS BLUE SHIELD

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