David B Henderson in Fayetteville - Physician Assistant
David B Henderson - NPI 1184615239
David B Henderson is a Physician Assistant in Fayetteville, North Carolina. David B Henderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David B Henderson is 1184615239. The last update date is 2016-07-12.
David B Henderson's current location address is Po Box 40908, Fayetteville, North Carolina. You can contact this provider via phone number 9106156949 and fax number 9106159761. The mailing address for David B Henderson is Po Box 40908, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David B Henderson |
|---|---|
| Address | Po Box 40908, Fayetteville, North Carolina |
| Phone Number | 9106156949 |
| Fax Number | 9106159761 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1184615239 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2016-07-12 |
Provider Mailing Address Detail
| Address | Po Box 40908 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283090908 |
| Phone Number | 9106156949 |
| Fax Number | 9106159761 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 100436 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184615239 | TRICARE | ||
| 1184615239 | SC | -- | |
| 10436 | NC | NORTH CAROLINA LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David B Henderson by the Centers for Medicare & Medicaid Services?
The David B Henderson has been issued the NPI (National Provider Identifier) 1184615239, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David B Henderson is physically located?
The David B Henderson is physically situated at the following address: Po Box 40908, Fayetteville, NC, 283090908.
What is the area of specialization for David B Henderson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David B Henderson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the David B Henderson's 1184615239 issued?
The David B Henderson's 1184615239 was issued on 2005-10-28.
As of what date were the details pertaining to David B Henderson last refreshed?
The information related to the David B Henderson, including its address, specialty, and other relevant details, was last updated on 2016-07-12.