Henderson, Carl Lenear
Henderson, Carl Lenear is an individual health care provider with primary practice located at 1217 South Main St Correspondence Only Pob 1193, Greenwood SC 29646. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Henderson, Carl Lenear can be contacted via phone (864) 229-2224.Contact Information
Primary practice address
1217 South Main St Correspondence Only Pob 1193
Greenwood SC 29646
Phone: (864) 229-2224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | SC2533 | South Carolina |
Profile Details
| NPI number | 1003941204 |
|---|---|
| LBN Legal business name | Henderson, Carl Lenear |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003941204 | NPPES |
| South Carolina | MEDICAID | 992533 |
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