Bruce T Henderson is a Specialist in Pontiac, Michigan. Bruce T Henderson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bruce T Henderson is 1972562106. The last update date is 2007-07-08.
Bruce T Henderson's current location address is 44555 Woodward Ave, Pontiac, Michigan. You can contact this provider via phone number 2483340524 and fax number 2488583887. The mailing address for Bruce T Henderson is 44555 Woodward Ave, Pontiac, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce T Henderson |
|---|---|
| Address | 44555 Woodward Ave, Pontiac, Michigan |
| Phone Number | 2483340524 |
| Fax Number | 2488583887 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972562106 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 44555 Woodward Ave |
|---|---|
| City | Pontiac |
| State | Michigan (MI) |
| Post Code | 483415031 |
| Phone Number | 2483340524 |
| Fax Number | 2488583887 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 39951 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 638406 | MI | BLUE CROSS/BLUE SHIELD | |
| 4513265 | MI | -- |
Post Comment/ Review Below
What is the Bruce T Henderson's 1972562106?
The Bruce T Henderson's NPI (National Provider Identifier) Number is 1972562106. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bruce T Henderson?
The Bruce T Henderson is physically situated at 44555 Woodward Ave, in the city of Pontiac, state of MI, with the postal code 483415031.
What is the area of specialization for Bruce T Henderson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce T Henderson is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972562106 to Bruce T Henderson?
The Bruce T Henderson received its 1972562106 assignment from the Centers for Medicare & Medicaid Services on 2006-03-17.
When was the information pertaining to Bruce T Henderson most recently updated or revised?
The details related to Bruce T Henderson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.