Tidwell, Henry Clay

Tidwell, Henry Clay is an individual health care provider with primary practice located at 1375 N Main St , Lapeer MI 48446-1350. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tidwell, Henry Clay can be contacted via phone (810) 667-5500.

Contact Information

Primary practice address
1375 N Main St Lapeer MI 48446-1350
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801070986 Michigan

Profile Details

NPI number 1518949312
LBN Legal business name Tidwell, Henry Clay
Credentials LMSW-CSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 23rd, 2007 - about 17 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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