Hennessey, Theresa Ann

Hennessey, Theresa Ann is an individual health care provider with primary practice located at Shriners Hospitals For Children Fairfax Road At Virginia Street, Salt Lake City UT 84103-4399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as her primary health care specialty. Hennessey, Theresa Ann can be contacted via phone (801) 536-3600.

Contact Information

Primary practice address
Shriners Hospitals For Children Fairfax Road At Virginia Street Salt Lake City UT 84103-4399
Phone: (801) 536-3600
Fax: (801) 536-3868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 5897436-1205 Utah

Profile Details

NPI number 1699826693
LBN Legal business name Hennessey, Theresa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699826693 NPPES
Utah Other 5897436-8905 CONTROLLED SUBSTANCE LIC
Utah Other 5897436-1205 CONTROLLED SUBSTANCE LIC

Popular Providers