Henderson, Larry

Henderson, Larry is an sole proprietor health care provider with primary practice located at 5100 Obannon Dr Apt 78 , Las Vegas NV 89146. He recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as his primary health care specialty. Henderson, Larry can be contacted via phone (702) 272-3858.

Contact Information

Primary practice address
5100 Obannon Dr Apt 78 Las Vegas NV 89146
Phone: (702) 272-3858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1710399084
LBN Legal business name Henderson, Larry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2014
Last updated May 21st, 2014 - about 11 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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