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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659613289 NPPES
Ohio Other 142981 LICENSED PRACTICAL NURSE

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