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Contact Information

DAVID E HENDERSON, DPM
1 CARPET ALLEY
MADISON, IN47250
 Phone: 812-265-2011
 Fax: 812-273-1769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID E HENDERSON · (Male)

NPI # 1902804560
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/08/2005
Last updated 06/27/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 07000436A
  • IN Medicaid 100148890A
  • Other 000000087922 ANTHEM BCBS
  • Other 35-1787467 TAX ID
  • IN Other 257980A MEDICARE DME
  • IN Other 411730 MEDICARE DME
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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