Individual
MR. JOHN P HENDERSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 N STURMER ST, BELINGTON, WV 26250-7403
(304) 823-2800
(304) 823-2703
Mailing address
70 N STURMER ST, BELINGTON, WV 26250-7403
(304) 823-2800
(304) 823-2703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17533
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802983000
—
WV
01
—
2028131
MEDICARE-TPAN
WV
Enumeration date
06/28/2006
Last updated
10/22/2015
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