Individual
DR. TROY R HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8304 HARFORD RD, PARKVILLE, MD 21234-5700
(410) 665-0000
Mailing address
8304 HARFORD RD, PARKVILLE, MD 21234-5700
(410) 665-0000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MD 01671
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
532540-01
BLUCE CROSS
MD
01
—
T 324-00001
FED PROVIDER NUMBER
MD
01
—
T 324-0001
BLUE CHOICE NUMBER
MD
Enumeration date
03/05/2007
Last updated
07/09/2007
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