Henigan, Mark Hamilton
Henigan, Mark Hamilton is an sole proprietor health care provider with primary practice located at 1729 Tully Rd Suite Eight, Modesto CA 95350-4082. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Henigan, Mark Hamilton can be contacted via phone (209) 544-8363.Contact Information
Primary practice address
1729 Tully Rd Suite Eight
Modesto CA 95350-4082
Phone: (209) 544-8363
Fax: (209) 758-0995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 20A6351 | California |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 20A6351 | California |
Profile Details
| NPI number | 1689897365 |
|---|---|
| LBN Legal business name | Henigan, Mark Hamilton |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 21st, 2008 - about 18 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 | 1689897365 | NPPES |
| California | MEDICAID | 9519325 |
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