Henderson, Harry George
Henderson, Harry George is an sole proprietor health care provider with primary practice located at 1835 Kingshighway , East Saint Louis IL 62204-2135. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Henderson, Harry George can be contacted via phone (618) 482-7922.Contact Information
Primary practice address
1835 Kingshighway
East Saint Louis IL 62204-2135
Phone: (618) 482-7922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019015128 | Illinois |
Profile Details
| NPI number | 1619101631 |
|---|---|
| LBN Legal business name | Henderson, Harry George |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2009 |
| Last updated | May 5th, 2009 - 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.
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