Hennessy, Robert

Hennessy, Robert is an sole proprietor health care provider with primary practice located at 3593 Arboretum Cir , Corona CA 92881-3973. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hennessy, Robert can be contacted via phone (714) 943-5015.

Contact Information

Primary practice address
3593 Arboretum Cir Corona CA 92881-3973
Phone: (714) 943-5015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X A114538 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A114538 California

Profile Details

NPI number 1699765412
LBN Legal business name Hennessy, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated Apr 7th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699765412 NPPES
New York MEDICAID 01820891

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