Henderson, Tiara

Henderson, Tiara is an sole proprietor health care provider with primary practice located at 2040 Elbur Ave , Lakewood OH 44107-6114. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Henderson, Tiara can be contacted via phone (216) 972-3877.

Contact Information

Primary practice address
2040 Elbur Ave Lakewood OH 44107-6114
Phone: (216) 972-3877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1407487598
LBN Legal business name Henderson, Tiara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2020
Last updated Jan 28th, 2020 - 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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