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Individual
DR. THOMAS H HENDERSON
Active
Individual
DR. THOMAS H HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34001579H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227904
ANTHEM
OH
05
—
0054006
—
OH
01
—
0120071
UNITED HEALTHCARE
OH
01
—
08019714
RAILROAD MEDICARE
OH
01
—
2220247
AETNA
OH
01
—
34001579H
MEDICAL LICENSE
OH
01
—
421534506082
CARESOURCE
OH
01
—
DO157904
HUMANA/CHOICECARE
OH
01
—
OC02946
NATIONWIDE HEALTH PLAN
OH
Enumeration date
05/30/2005
Last updated
08/19/2009
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