# DR. AMY HALLAL HENDERSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1437159886
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 01052944A | IN | Yes |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 06/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000235706 | ANTHEM | IN |
| 01 | — | 000000381971 | ANTHEM - NICC | — |
| 01 | — | 045019 | SHIO - NICC | — |
| 01 | — | 1727118 | CIGNA | IN |
| 05 | — | 200403200 | — | IN |
| 05 | — | 200403200B | — | IN |
| 01 | — | P00305291 | RRMCR - NICC | IN |
| 01 | — | P00362329 | RRMCR - NICC | KY |