Harden, Henry Lee

Harden, Henry Lee is an individual health care provider with primary practice located at 8533 S Paulina St , Chicago IL 60620-4747. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Harden, Henry Lee can be contacted via phone (773) 677-8950.

Contact Information

Primary practice address
8533 S Paulina St Chicago IL 60620-4747
Phone: (773) 677-8950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Illinois

Profile Details

NPI number 1063071843
LBN Legal business name Harden, Henry Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2019
Last updated Jun 6th, 2019 - about 5 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 1063071843 NPPES
Illinois Other PPO17824 BCBS

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