Henderson, Paul Glenn
Henderson, Paul Glenn is an individual health care provider with primary practice located at 2506 Danville Rd Sw Suite 200, Decatur AL 35603-4232. 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, Paul Glenn can be contacted via phone (256) 350-6331.Contact Information
Primary practice address
2506 Danville Rd Sw Suite 200
Decatur AL 35603-4232
Phone: (256) 350-6331
Fax: (256) 350-1990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTH603 | Alabama |
Profile Details
| NPI number | 1376566570 |
|---|---|
| LBN Legal business name | Henderson, Paul Glenn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Oct 1st, 2012 - about 12 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 | 1376566570 | NPPES |
| Alabama | Other | 1003819608 | GROUP NPI |
| Alabama | MEDICAID | 529917620 | GROUP NPI |
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