Herndon, Luke
Herndon, Luke is an individual health care provider with primary practice located at 2740 Saint Andrews Dr , Murfreesboro TN 37128-6684. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Herndon, Luke can be contacted via phone (615) 632-2003.Contact Information
Primary practice address
2740 Saint Andrews Dr
Murfreesboro TN 37128-6684
Phone: (615) 632-2003
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 868 | Tennessee |
Profile Details
| NPI number | 1114587979 |
|---|---|
| LBN Legal business name | Herndon, Luke |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2019 |
| Last updated | Mar 11th, 2024 - about 2 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 | 1114587979 | NPPES |
| Tennessee | MEDICAID | Q069876 |
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