Henner, David E

Henner, David E is an individual health care provider with primary practice located at 777 North St Renal Dialysis, Pittsfield MA 01201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Henner, David E can be contacted via phone (413) 447-2764.

Contact Information

Primary practice address
777 North St Renal Dialysis Pittsfield MA 01201
Fax: (413) 447-2765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS010498L Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 223305 Massachusetts

Profile Details

NPI number 1487612032
LBN Legal business name Henner, David E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 6th, 2010 - about 15 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 1487612032 NPPES
Massachusetts MEDICAID 2104172

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