Heneghan, James Michael
Heneghan, James Michael is an individual health care provider with primary practice located at 320 Pomfret St Department Of Pathology, Putnam CT 06260-1836. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Heneghan, James Michael can be contacted via phone (860) 928-6541.Contact Information
Primary practice address
320 Pomfret St Department Of Pathology
Putnam CT 06260-1836
Phone: (860) 928-6541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 76901 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 76901 | Massachusetts |
Profile Details
| NPI number | 1649223058 |
|---|---|
| LBN Legal business name | Heneghan, James Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Apr 30th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649223058 | NPPES |
| Connecticut | MEDICAID | 001303388 | |
| Connecticut | MEDICAID | 2091020 |
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