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Individual

RANDALL HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5508 WASHINGTON AVE, BARGERSVILLE, IN 46106-8538
(317) 442-1455
Mailing address
5508 WASHINGTON AVE, BARGERSVILLE, IN 46106-8538

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
08/24/2015
Last updated
08/24/2015
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform