Henderson, Katherine Anne
Henderson, Katherine Anne is an individual health care provider with primary practice located at 1600 S 4Th Ave Ste 110 , Morton IL 61550-3401. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Henderson, Katherine Anne can be contacted via phone (309) 263-2781.Contact Information
Primary practice address
1600 S 4Th Ave Ste 110
Morton IL 61550-3401
Phone: (309) 263-2781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019.032249 | Illinois |
Profile Details
| NPI number | 1861045924 |
|---|---|
| LBN Legal business name | Henderson, Katherine Anne |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2019 |
| Last updated | Jun 7th, 2022 - 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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