Henderson, Lydell Jamal

Henderson, Lydell Jamal is an individual health care provider with primary practice located at 24333 Southfield Rd Ste. 212, Southfield MI 48075-2822. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Henderson, Lydell Jamal can be contacted via phone (248) 587-7867.

Contact Information

Primary practice address
24333 Southfield Rd Ste. 212 Southfield MI 48075-2822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1982139671
LBN Legal business name Henderson, Lydell Jamal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2017
Last updated May 1st, 2017 - about 8 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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