Hendrickson, Daniel Craig
Hendrickson, Daniel Craig is an individual health care provider with primary practice located at 1095 3Rd St Suite 125, Muskegon MI 49441-1976. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Hendrickson, Daniel Craig can be contacted via phone (231) 726-4735.Contact Information
Primary practice address
1095 3Rd St Suite 125
Muskegon MI 49441-1976
Phone: (231) 726-4735
Fax: (231) 722-0789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6801018507 | Michigan |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6801018507 | Michigan |
Profile Details
| NPI number | 1477625259 |
|---|---|
| LBN Legal business name | Hendrickson, Daniel Craig |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| 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 | 1477625259 | NPPES |
| Michigan | MEDICAID | 1712452 |
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