Henderson, Burgandy D

Henderson, Burgandy D is an individual health care provider with primary practice located at 14792 Catlin Tilton Rd , Danville IL 61834-5116. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Henderson, Burgandy D can be contacted via phone (217) 443-6430.

Contact Information

Primary practice address
14792 Catlin Tilton Rd Danville IL 61834-5116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.014592 Illinois

Profile Details

NPI number 1336763358
LBN Legal business name Henderson, Burgandy D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2020
Last updated Jun 5th, 2020 - about 6 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 1336763358 NPPES
Illinois Other 146.014592 STATE LICENSE

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