Provider Information for 1942706072
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CHRISTOPHER E. HENDERSON
Sex: Male
NPI: 1942706072
Last Updated: 2022-04-28
Certification Date: 2022-04-28
Certification Date: 2022-04-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1942706072 | ||||||||
| Enumeration Date | 2018-04-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 626 HERRIOTT RD NORTHFIELD, VT 05663-6061 United States Phone: 802-522-2834 | Fax: | ||||||||
| Primary Practice Address | 626 HERRIOTT RD NORTHFIELD, VT 05663-6061 United States Phone: 802-522-2834 | Fax: | ||||||||
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