Henderson, Keiland Maurice

Henderson, Keiland Maurice is an sole proprietor health care provider with primary practice located at 151 W Cleveland St , Stockton CA 95204-5306. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor. Other Service Providers / Contractor is his primary health care specialty. Henderson, Keiland Maurice can be contacted via phone (916) 470-8628.

Contact Information

Primary practice address
151 W Cleveland St Stockton CA 95204-5306
Phone: (916) 470-8628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1093019846
LBN Legal business name Henderson, Keiland Maurice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2011
Last updated Jun 7th, 2023 - about last year

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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