Henderson, Timothy D
Henderson, Timothy D is an sole proprietor health care provider with primary practice located at 1019 E California St , Gainesville TX 76240-4203. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Henderson, Timothy D can be contacted via phone (940) 902-3979.Contact Information
Primary practice address
1019 E California St
Gainesville TX 76240-4203
Phone: (940) 902-3979
Fax: (214) 292-9650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 8356 | Texas |
Profile Details
| NPI number | 1679563969 |
|---|---|
| LBN Legal business name | Henderson, Timothy D |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Dec 7th, 2023 - about last year |
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 | 1679563969 | NPPES |
| Texas | MEDICAID | 145707902 |
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