Henderson, Elyse

Henderson, Elyse is an individual health care provider with primary practice located at 470 Chadbourne Rd Ste E , Fairfield CA 94534-9620. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Henderson, Elyse can be contacted via phone (707) 425-9670.

Contact Information

Primary practice address
470 Chadbourne Rd Ste E Fairfield CA 94534-9620
Phone: (707) 425-9670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X D8527565 California

Profile Details

NPI number 1841623212
LBN Legal business name Henderson, Elyse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2013
Last updated Aug 20th, 2013 - about 13 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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