Hennessee, Samuel D
Hennessee, Samuel D is an individual health care provider with primary practice located at 8040 Clearvista Pkwy , Indianapolis IN 46256-5630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hennessee, Samuel D can be contacted via phone (317) 567-2179.Contact Information
Primary practice address
8040 Clearvista Pkwy
Indianapolis IN 46256-5630
Phone: (317) 567-2179
Fax: (317) 567-2191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01024495A | Indiana |
Profile Details
| NPI number | 1932175569 |
|---|---|
| LBN Legal business name | Hennessee, Samuel D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Nov 3rd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932175569 | NPPES |
| Indiana | MEDICAID | 100128590 |
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