Henderson, Sophia Justine

Henderson, Sophia Justine is an sole proprietor health care provider with primary practice located at 7400 Malone Rd , Forestville CA 95436-9597. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Henderson, Sophia Justine can be contacted via phone (707) 529-8102.

Contact Information

Primary practice address
7400 Malone Rd Forestville CA 95436-9597
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 503 California

Profile Details

NPI number 1013342930
LBN Legal business name Henderson, Sophia Justine
Credentials LM, CPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2013
Last updated Jul 13th, 2021 - about 4 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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