Dr. Ethan Henderson, MD
Emergency Medicine in White River Junction, Vermont
1144754615- Practice location
- 163 Veterans Dr, White River Junction, VT 05009-7451
- Phone
- 254-743-0311
- Fax
- —
- Last updated
- April 10, 2025
Ethan Henderson is an Emergency Medicine based in White River Junction, VT. Ethan Henderson practices in White River Junction, VT and has the professional credentials of MD. The NPI Number for Ethan Henderson is 1144754615 and holds a License No. S2330 (TX). The current practice location address for Ethan Henderson is 163 Veterans Dr, White River Junction, VT 05009-7451 and can be reached out via phone at 254-743-0311.
Provider Profile Details
- NPI Number
- 1144754615
- Provider Name
- Ethan Henderson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 163 Veterans Dr, White River Junction, VT 05009-7451
- Phone Number
- 254-743-0311
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 11, 2017
- Last Update Date
- April 10, 2025
- Certification Date
- April 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 163 Veterans Dr
White River Junction, VT 05009-7451 - State
- Vermont
- Zip
- 05009-7451
- Phone Number
- 254-743-0311
Provider Business Mailing Address Details
- Address
- Po Box 261
Quechee, VT 05059-0261 - City
- Quechee
- State
- VT
- Zip
- 05059-0261
- Phone Number
- 254-718-5117
License Information
- License Number (1)
- S2330
- License State (1)
- TX
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 042.0016380
- License State (2)
- VT
- Taxonomy (2)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Ethan Henderson, MD?
The NPI number of Dr. Ethan Henderson, MD is 1144754615. It was assigned on April 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Ethan Henderson, MD?
Dr. Ethan Henderson, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in TX under license number S2330.
Where does Dr. Ethan Henderson, MD practice?
The practice location is 163 Veterans Dr, White River Junction, VT 05009-7451. The office can be reached at 254-743-0311 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144754615 directly on the NPPES registry website.