Henderson, Jennifer
Henderson, Jennifer is an individual health care provider with primary practice located at 3015 E Skelly Dr Suite 103, Tulsa OK 74105-6317. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Henderson, Jennifer can be contacted via phone (918) 712-0859.Contact Information
Primary practice address
3015 E Skelly Dr Suite 103
Tulsa OK 74105-6317
Phone: (918) 712-0859
Fax: (918) 388-6456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1801260732 |
|---|---|
| LBN Legal business name | Henderson, Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2015 |
| Last updated | Nov 16th, 2015 - about 9 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 | 1801260732 | NPPES |
| Oklahoma | MEDICAID | 200323940 |
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