Hennessey, Daniel J

Hennessey, Daniel J is an individual health care provider with primary practice located at 4200 N. Rodney Parham Road Suite 101, Little Rock AR 72212. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hennessey, Daniel J can be contacted via phone (501) 224-5658.

Contact Information

Primary practice address
4200 N. Rodney Parham Road Suite 101 Little Rock AR 72212
Phone: (501) 224-5658
Fax: (501) 687-0801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2322 Arkansas

Profile Details

NPI number 1427033596
LBN Legal business name Hennessey, Daniel J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Oct 15th, 2019 - about 5 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 1427033596 NPPES
Arkansas MEDICAID 110756722
Arkansas Other 48867

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