Henneghan, David M

Henneghan, David M is an individual health care provider with primary practice located at 500 Vincent St , Stevens Point WI 54481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Henneghan, David M can be contacted via phone (715) 344-0701.

Contact Information

Primary practice address
500 Vincent St Stevens Point WI 54481
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 31451 Wisconsin

Profile Details

NPI number 1982772083
LBN Legal business name Henneghan, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated May 11th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982772083 NPPES
Wisconsin MEDICAID 31611500

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