Henderson, Matthew

Henderson, Matthew is an individual health care provider with primary practice located at 4450 Hugh Howell Rd Ste 9 , Tucker GA 30084-4917. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Henderson, Matthew can be contacted via phone (770) 939-0998.

Contact Information

Primary practice address
4450 Hugh Howell Rd Ste 9 Tucker GA 30084-4917
Phone: (770) 939-0998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1427273879
LBN Legal business name Henderson, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427273879 NPPES
Georgia Other 8771 LICENSE#

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