Dr. Michael David Henderson
Medical Oncology
2360 1st St
Napa
, California 94559-2239
Dr. Michael David Henderson
Medical Oncology
2360 1st St
Napa
, California 94559-2239
(248) 203-9110
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Michael David Henderson
- 104 Milliken Creek Dr
- Napa, CA
- Zip : 94558-1241
- Fax : (248) 203-9110
- Phone : (313) 930-0909
Second Address
- Dr. Michael David Henderson
- 2360 1st St
- Napa, CA
- Zip : 94559-2239
- Phone : (707) 377-1007
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 4301029337 | MI |
National Provider Identifier
| NPI | 1144219585 |
|---|---|
| Provider Name | Dr. Michael David Henderson |
| First Address | Napa, CA 94558-1241 |
| Second Address | Napa, CA 94559-2239 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2005 |
| Last Update Date | 23/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4705694-10 | (05) | MI |
| C04177 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.