Hennessey, Theresa Ann
Hennessey, Theresa Ann is an individual health care provider with primary practice located at Shriners Hospitals For Children Fairfax Road At Virginia Street, Salt Lake City UT 84103-4399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as her primary health care specialty. Hennessey, Theresa Ann can be contacted via phone (801) 536-3600.Contact Information
Primary practice address
Shriners Hospitals For Children Fairfax Road At Virginia Street
Salt Lake City UT 84103-4399
Phone: (801) 536-3600
Fax: (801) 536-3868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 5897436-1205 | Utah |
Profile Details
| NPI number | 1699826693 |
|---|---|
| LBN Legal business name | Hennessey, Theresa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1699826693 | NPPES |
| Utah | Other | 5897436-8905 | CONTROLLED SUBSTANCE LIC |
| Utah | Other | 5897436-1205 | CONTROLLED SUBSTANCE LIC |
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