Henderson, Thomas

Henderson, Thomas is an individual health care provider with primary practice located at 618 Hospital Rd , Tappahannock VA 22560-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Henderson, Thomas can be contacted via phone (908) 963-1655.

Contact Information

Primary practice address
618 Hospital Rd Tappahannock VA 22560-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA05596700 New Jersey

Profile Details

NPI number 1720095664
LBN Legal business name Henderson, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated May 7th, 2009 - about 17 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 1720095664 NPPES
Virginia MEDICAID 1720095664
Virginia MEDICAID 5198801

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