Individual
JAMES MARTIN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./DDS
Contact information
Practice address
415 MORRIS ST, SUITE 309, CHARLESTON, WV 25301-1842
(304) 388-3290
(304) 388-3186
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20470
WV
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
20470
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4002055-000
—
WV
05
—
4002055001
—
WV
01
—
850000287
RAILROAD MEDICARE
—
Enumeration date
04/12/2006
Last updated
06/09/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us