Henderson, Kevin Duane
Henderson, Kevin Duane is an sole proprietor health care provider with primary practice located at 2040 6Th Ave , Tacoma WA 98403-1045. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Henderson, Kevin Duane can be contacted via phone (253) 572-1881.Contact Information
Primary practice address
2040 6Th Ave
Tacoma WA 98403-1045
Phone: (253) 572-1881
Fax: (253) 572-5682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 025202 CHOOOO2023 | Washington |
Profile Details
| NPI number | 1720070477 |
|---|---|
| LBN Legal business name | Henderson, Kevin Duane |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Mar 29th, 2010 - about 14 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 | 1720070477 | NPPES |
| Washington | MEDICAID | 2028538 | |
| Washington | Other | 911471138 | |
| Washington | Other | HE3793 | |
| Washington | Other | KH1021774 | |
| Washington | Other | 911471138 | |
| Washington | Other | 911471138 | |
| Washington | Other | 0070405 | |
| Washington | Other | 873745 |
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