Hennessee, Jonathan J

Hennessee, Jonathan J is an individual health care provider with primary practice located at 134 Owensville Road , West River MD 20778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hennessee, Jonathan J can be contacted via phone (410) 867-4700.

Contact Information

Primary practice address
134 Owensville Road West River MD 20778
Phone: (410) 867-4700
Fax: (410) 867-8754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RT-2118 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H76407 Maryland

Profile Details

NPI number 1972814192
LBN Legal business name Hennessee, Jonathan J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Feb 14th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972814192 NPPES
Maryland MEDICAID 404482700

Popular Providers