Henderson, Matthew
Henderson, Matthew is an individual health care provider with primary practice located at 4450 Hugh Howell Rd Ste 9 , Tucker GA 30084-4917. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Henderson, Matthew can be contacted via phone (770) 939-0998.Contact Information
Primary practice address
4450 Hugh Howell Rd Ste 9
Tucker GA 30084-4917
Phone: (770) 939-0998
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1427273879 |
|---|---|
| LBN Legal business name | Henderson, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1427273879 | NPPES |
| Georgia | Other | 8771 | LICENSE# |
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