Hennessy, Mark D

Hennessy, Mark D is an individual health care provider with primary practice located at 1924 Alcoa Hwy Suite 6-South, Knoxville TN 37920-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Hennessy, Mark D can be contacted via phone (865) 305-8888.

Contact Information

Primary practice address
1924 Alcoa Hwy Suite 6-South Knoxville TN 37920-1511
Phone: (865) 305-8888
Fax: (865) 305-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD 23608 Tennessee

Profile Details

NPI number 1194710467
LBN Legal business name Hennessy, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Oct 28th, 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 1194710467 NPPES
Tennessee MEDICAID 3069396

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