Hennemann, Sarah Jane

Hennemann, Sarah Jane is an individual health care provider with primary practice located at 3066 E Meridian Park Loop , Wasilla AK 99654-7299. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hennemann, Sarah Jane can be contacted via phone (907) 357-9590.

Contact Information

Primary practice address
3066 E Meridian Park Loop Wasilla AK 99654-7299
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49139-020 Wisconsin

Profile Details

NPI number 1386740785
LBN Legal business name Hennemann, Sarah Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Oct 11th, 2011 - about 13 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 1386740785 NPPES
Alaska MEDICAID MD8536

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