Herndon, Mckenzie Nicole
Herndon, Mckenzie Nicole is an sole proprietor health care provider with primary practice located at 4141 Old Ivy Trce , Valdosta GA 31605-5718. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Herndon, Mckenzie Nicole can be contacted via phone (229) 561-3920.Contact Information
Primary practice address
4141 Old Ivy Trce
Valdosta GA 31605-5718
Phone: (229) 561-3920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1063906741 |
|---|---|
| LBN Legal business name | Herndon, Mckenzie Nicole |
| Credentials | Bachelor of Social Work (BSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2018 |
| Last updated | Jun 18th, 2018 - about 6 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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