Henderson, Stacy
Henderson, Stacy is an individual health care provider with primary practice located at 1717 Saint Charles Ave , New Orleans LA 70130-5223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Henderson, Stacy can be contacted via phone (504) 899-2800.Contact Information
Primary practice address
1717 Saint Charles Ave
New Orleans LA 70130-5223
Phone: (504) 899-2800
Fax: (504) 899-2700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 312344 | Louisiana |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | DR.0071172 | Colorado |
Profile Details
| NPI number | 1457618316 |
|---|---|
| LBN Legal business name | Henderson, Stacy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2012 |
| Last updated | Jun 5th, 2026 - about 5 months 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 | 1457618316 | NPPES |
| Colorado | MEDICAID | 9000222170 |
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