Wilborn, Henderson

Wilborn, Henderson is an individual health care provider with primary practice located at 4466 Elvis Presley Blvd Suite 115, Memphis TN 38116. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, which is considered as his primary health care specialty. Wilborn, Henderson can be contacted via phone (907) 808-3279.

Contact Information

Primary practice address
4466 Elvis Presley Blvd Suite 115 Memphis TN 38116
Phone: (907) 808-3279
Fax: (901) 671-1121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Health Information 247000000X 44D2067576 Tennessee

Profile Details

NPI number 1730519711
LBN Legal business name Wilborn, Henderson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2013
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730519711 NPPES
Tennessee MEDICAID 264040069

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