Henderson, Daron Glen
Henderson, Daron Glen is an sole proprietor health care provider with primary practice located at 1285 Nixon Ave , Idaho Falls ID 83404-5611. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Henderson, Daron Glen can be contacted via phone (208) 529-4300.Contact Information
Primary practice address
1285 Nixon Ave
Idaho Falls ID 83404-5611
Phone: (208) 529-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LMSW-25799 | Idaho |
Profile Details
| NPI number | 1770624231 |
|---|---|
| LBN Legal business name | Henderson, Daron Glen |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| 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.
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