Henderson, Susan K

Henderson, Susan K is an individual health care provider with primary practice located at 403 E Madison St , South Bend IN 46617-2322. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Henderson, Susan K can be contacted via phone (574) 283-1234.

Contact Information

Primary practice address
403 E Madison St South Bend IN 46617-2322
Fax: (574) 283-1131
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 86000033A Indiana

Profile Details

NPI number 1225310402
LBN Legal business name Henderson, Susan K
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2011
Last updated Sep 14th, 2011 - about 14 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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