Henderson, Chrystal Dilworth

Henderson, Chrystal Dilworth is an individual health care provider with primary practice located at 310 W Losey St , Scott Air Force Base IL 62225-5250. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Henderson, Chrystal Dilworth can be contacted via phone (618) 256-7456.

Contact Information

Primary practice address
310 W Losey St Scott Air Force Base IL 62225-5250
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 32005 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32005 Tennessee

Profile Details

NPI number 1225026222
LBN Legal business name Henderson, Chrystal Dilworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 11th, 2024 - about last year

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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