Henderson, Donald Wade

Henderson, Donald Wade is an sole proprietor health care provider with primary practice located at 2709 S Kobe Mill Ed , Springfield IL 62711. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Henderson, Donald Wade can be contacted via phone (217) 698-9477.

Contact Information

Primary practice address
2709 S Kobe Mill Ed Springfield IL 62711
Phone: (217) 698-9477
Fax: (217) 698-9474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-009151 Illinois

Profile Details

NPI number 1578624573
LBN Legal business name Henderson, Donald Wade
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Oct 23rd, 2019 - about 7 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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