Henderson, Derrick L

Henderson, Derrick L is an individual health care provider with primary practice located at 3005 Long Pines Dr , Shreveport LA 71119-3412. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Henderson, Derrick L can be contacted via phone (318) 572-6337.

Contact Information

Primary practice address
3005 Long Pines Dr Shreveport LA 71119-3412
Phone: (318) 572-6337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1902673668
LBN Legal business name Henderson, Derrick L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2023
Last updated Dec 4th, 2023 - about 2 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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