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DR HENDERSON JUDY MD FAMILY MEDICINE PLLC NPI 1841737277


NPI Information

NPI: 1841737277
Provider Name: DR HENDERSON JUDY MD FAMILY MEDICINE PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
24 N SAINT JOSEPH AVE
SUITE C 2
NILES, MI
ZIP 49120
Phone: (269) 683-0330
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DR HENDERSON JUDY MD FAMILY MEDICINE PLLC is an internal medicine in Niles, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR HENDERSON JUDY MD FAMILY MEDICINE PLLC NPI is 1841737277. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24 N SAINT JOSEPH AVE
SUITE C 2
NILES, MI
ZIP 49120-263
Phone: (269) 683-0330
Fax: (269) 684-0400

The provider's authorized official is Judy D. Henderson .
The authorized official title is Owner and has the following contact phone number (269) 683-0330.

The enumeration date for this NPI number is 1/24/2017 and was last updated on 1/29/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine4301088108MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G15851MEDICARE UPINMICHIGAN
2H06000080MEDICARE PINMICHIGAN
30111108OTHERBCBS
41700813227MEDICAIDMICHIGAN
51101111081OTHERMICHIGANBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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