Henderson, Shelly Marie

Henderson, Shelly Marie is an sole proprietor health care provider with primary practice located at 5612 E Cargill Ln , Colbert WA 99005-9110. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as her primary health care specialty. Henderson, Shelly Marie can be contacted via phone (509) 238-4171.

Contact Information

Primary practice address
5612 E Cargill Ln Colbert WA 99005-9110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 249694 Washington

Profile Details

NPI number 1396040077
LBN Legal business name Henderson, Shelly Marie
Credentials RMA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2011
Last updated Jan 11th, 2011 - about 15 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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