Hennon, Mark W

Hennon, Mark W is an individual health care provider with primary practice located at Elm And Carlton St Cancer Center Ground Floor, Buffalo NY 14263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Hennon, Mark W can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
Elm And Carlton St Cancer Center Ground Floor Buffalo NY 14263
Phone: (716) 845-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 256860 New York
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD426092 Pennsylvania

Profile Details

NPI number 1124108998
LBN Legal business name Hennon, Mark W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Feb 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124108998 NPPES
New York MEDICAID 03226262

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