Henderson, Tammy S

Henderson, Tammy S is an individual health care provider with primary practice located at 1218 Cleveland Rd , Sandusky OH 44870-4200. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Henderson, Tammy S can be contacted via phone (419) 626-9156.

Contact Information

Primary practice address
1218 Cleveland Rd Sandusky OH 44870-4200
Fax: (419) 621-0099
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.0900588 Ohio

Profile Details

NPI number 1134471642
LBN Legal business name Henderson, Tammy S
Credentials PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2012
Last updated Oct 8th, 2012 - about 13 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 1134471642 NPPES
Ohio MEDICAID 2325906

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