Henderson, Michael Fritz

Henderson, Michael Fritz is an sole proprietor health care provider with primary practice located at 567 Forest St , East Hartford CT 06118-2036. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Henderson, Michael Fritz can be contacted via phone (860) 202-3366.

Contact Information

Primary practice address
567 Forest St East Hartford CT 06118-2036
Phone: (860) 202-3366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA.001268 Connecticut

Profile Details

NPI number 1730846981
LBN Legal business name Henderson, Michael Fritz
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2021
Last updated Nov 23rd, 2021 - about 3 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 1730846981 NPPES
Connecticut Other BA.001268 BEHAVIOR ANALYST

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