Henderson, Christopher R

Henderson, Christopher R is an individual health care provider with primary practice located at 14335 Braile St , Detroit MI 48223-2721. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Henderson, Christopher R can be contacted via phone (734) 639-9791.

Contact Information

Primary practice address
14335 Braile St Detroit MI 48223-2721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Michigan

Profile Details

NPI number 1396456216
LBN Legal business name Henderson, Christopher R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2022
Last updated Dec 12th, 2022 - about 3 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 1396456216 NPPES
Michigan MEDICAID 0000000000

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