Henderson, Antoinette M
Henderson, Antoinette M is an sole proprietor health care provider with primary practice located at 6250 W Wyandotte Rd , Maumee OH 43537-1336. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Henderson, Antoinette M can be contacted via phone (567) 277-2156.Contact Information
Primary practice address
6250 W Wyandotte Rd
Maumee OH 43537-1336
Phone: (567) 277-2156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 142981 | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | 532712 | Ohio |
Profile Details
| NPI number | 1659613289 |
|---|---|
| LBN Legal business name | Henderson, Antoinette M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2013 |
| Last updated | Aug 7th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659613289 | NPPES |
| Ohio | Other | 142981 | LICENSED PRACTICAL NURSE |
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