Hennessy, Jill Marie

Hennessy, Jill Marie is an individual health care provider with primary practice located at 2001 Webber St , Sarasota FL 34239-5288. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Hennessy, Jill Marie can be contacted via phone (941) 362-8900.

Contact Information

Primary practice address
2001 Webber St Sarasota FL 34239-5288
Phone: (941) 362-8900
Fax: (941) 362-8987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X ME53383 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME53383 Florida

Profile Details

NPI number 1861485922
LBN Legal business name Hennessy, Jill Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 4th, 2010 - about 15 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 1861485922 NPPES
Florida MEDICAID 372532400

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