Henderson, Keisha Nichole
Henderson, Keisha Nichole is an individual health care provider with primary practice located at 1116 Summit Ave , Seattle WA 98101-2831. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Henderson, Keisha Nichole can be contacted via phone (206) 323-0930.Contact Information
Primary practice address
1116 Summit Ave
Seattle WA 98101-2831
Phone: (206) 323-0930
Fax: (206) 323-0933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1902319767 |
|---|---|
| LBN Legal business name | Henderson, Keisha Nichole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2017 |
| Last updated | Jun 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902319767 | NPPES |
| Washington | MEDICAID | HENDEKN312NP | |
| Washington | MEDICAID | 200251300 |
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