Henderson, Roy Robert

Henderson, Roy Robert is an sole proprietor health care provider with primary practice located at 60 West Union Ave , Bound Brook NJ 08805-1716. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Henderson, Roy Robert can be contacted via phone (732) 469-3668.

Contact Information

Primary practice address
60 West Union Ave Bound Brook NJ 08805-1716
Phone: (732) 469-3668
Fax: (732) 469-3650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00176300 New Jersey

Profile Details

NPI number 1063527968
LBN Legal business name Henderson, Roy Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Mar 25th, 2010 - about 15 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 1063527968 NPPES
New Jersey Other F08076 HEALTH NET
New Jersey MEDICAID 1838709 HEALTH NET
New Jersey Other P384246 HEALTH NET

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