Henderson, Shasta Elizabeth

Henderson, Shasta Elizabeth is an sole proprietor health care provider with primary practice located at 5601 W Eugie Ave Ste 100 , Glendale AZ 85304-1256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as her primary health care specialty. Henderson, Shasta Elizabeth can be contacted via phone (602) 865-4510.

Contact Information

Primary practice address
5601 W Eugie Ave Ste 100 Glendale AZ 85304-1256
Phone: (602) 865-4510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 83022 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 74368 Arizona

Profile Details

NPI number 1316383953
LBN Legal business name Henderson, Shasta Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated May 11th, 2025 - about last year

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.

Request for update

Popular Providers