Hennessey, Stephen D
Hennessey, Stephen D is an individual health care provider with primary practice located at 2690 Ne Kresky Ave , Chehalis WA 98532-2412. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hennessey, Stephen D can be contacted via phone (360) 330-9595.Contact Information
Primary practice address
2690 Ne Kresky Ave
Chehalis WA 98532-2412
Phone: (360) 330-9595
Fax: (360) 330-9560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD00025264 | Washington |
Profile Details
| NPI number | 1376544098 |
|---|---|
| LBN Legal business name | Hennessey, Stephen D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Oct 31st, 2022 - about 4 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 | 1376544098 | NPPES |
| Washington | MEDICAID | 1008874 |
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