Henderson, Matthew Jamal
Henderson, Matthew Jamal is an individual health care provider with primary practice located at 6375 S Williamson Blvd Apt #733, Port Orange FL 32128-4010. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Henderson, Matthew Jamal can be contacted via phone (954) 643-7740.Contact Information
Primary practice address
6375 S Williamson Blvd Apt #733
Port Orange FL 32128-4010
Phone: (954) 643-7740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1831543065 |
|---|---|
| LBN Legal business name | Henderson, Matthew Jamal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2016 |
| Last updated | Apr 13th, 2016 - about 10 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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