Henderson, Gregory
Henderson, Gregory is an sole proprietor health care provider with primary practice located at 39 Fogg Farm Road , Wilder VT 05088. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Henderson, Gregory can be contacted via phone (802) 295-1311.Contact Information
Primary practice address
39 Fogg Farm Road
Wilder VT 05088
Phone: (802) 295-1311
Fax: (802) 295-1312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 00608 | Vermont |
Profile Details
| NPI number | 1003247958 |
|---|---|
| LBN Legal business name | Henderson, Gregory |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2013 |
| Last updated | Dec 3rd, 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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