Individual provider · Type 1 NPI

Jacqueline Henderson, MD

Emergency Medical Services (Emergency Medicine) Physician · Michigan City, IN

NPI number 1366482358 Active

Practice location

301 W Homer St
Michigan City, IN 46360-4358

Call (219) 879-8511 Map

Mailing address

2000 Green Rd, Suite 300
Ann Arbor, MI 48105-1598

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X01059200A (IN)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

36 other providers at this address

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About NPI 1366482358

Jacqueline Henderson, MD's National Provider Identifier is 1366482358, issued on Jun 7, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Michigan City, IN. The record was last updated on Jun 4, 2008.