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
Phone: (618) 256-7456
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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