Hennessey, Michelle
Hennessey, Michelle is an individual health care provider with primary practice located at 1001 E Bogard Rd , Wasilla AK 99654-7114. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hennessey, Michelle can be contacted via phone (907) 373-7246.Contact Information
Primary practice address
1001 E Bogard Rd
Wasilla AK 99654-7114
Phone: (907) 373-7246
Fax: (907) 376-9225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6726 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 100023 | Alaska |
Profile Details
| NPI number | 1639132517 |
|---|---|
| LBN Legal business name | Hennessey, Michelle |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Mar 9th, 2021 - about 3 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 | 1639132517 | NPPES |
| Alaska | MEDICAID | 1683033 |
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