Henderson, Beverly
Henderson, Beverly is an sole proprietor health care provider with primary practice located at 2807 S Archer Ave , Chicago IL 60608-5617. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Henderson, Beverly can be contacted via phone (312) 791-0453.Contact Information
Primary practice address
2807 S Archer Ave
Chicago IL 60608-5617
Phone: (312) 791-0453
Fax: (312) 791-0715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1942313085 |
|---|---|
| LBN Legal business name | Henderson, Beverly |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1942313085 | NPPES |
| Illinois | Other | 1605885 | BCBS |
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