Henderson, Alexander Davis
Henderson, Alexander Davis is an sole proprietor health care provider with primary practice located at 250 Mathis Ferry Rd Suite 101, Mt Pleasant SC 29464-2979. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Henderson, Alexander Davis can be contacted via phone (843) 971-5171.Contact Information
Primary practice address
250 Mathis Ferry Rd Suite 101
Mt Pleasant SC 29464-2979
Phone: (843) 971-5171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 984 | South Carolina |
Profile Details
| NPI number | 1396794871 |
|---|---|
| LBN Legal business name | Henderson, Alexander Davis |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1396794871 | NPPES |
| South Carolina | MEDICAID | PS0406 |
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