Henderson, Robert
Henderson, Robert is an individual health care provider with primary practice located at 1705 W 2Nd St , Elk City OK 73644-4455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Henderson, Robert can be contacted via phone (580) 225-2511.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 16816 | Oklahoma |
Profile Details
| NPI number | 1417927468 |
|---|---|
| LBN Legal business name | Henderson, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | May 14th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417927468 | NPPES |
| Oklahoma | MEDICAID | 100096130A |
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