Henderson, Debra Sue
Henderson, Debra Sue is an sole proprietor health care provider with primary practice located at 408 E B Saunders Way , Clarksburg WV 26301-3712. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Henderson, Debra Sue can be contacted via phone (304) 624-6554.Contact Information
Primary practice address
408 E B Saunders Way
Clarksburg WV 26301-3712
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | West Virginia |
Profile Details
| NPI number | 1023287463 |
|---|---|
| LBN Legal business name | Henderson, Debra Sue |
| Credentials | EDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2008 |
| Last updated | Feb 28th, 2008 - about 16 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 | 1023287463 | NPPES |
| West Virginia | MEDICAID | 3810002020 |
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