Hennessy, Thomas W

Hennessy, Thomas W is an individual health care provider with primary practice located at 4315 Diplomacy Dr , Anchorage AK 99508-5926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Hennessy, Thomas W can be contacted via phone (907) 563-2662.

Contact Information

Primary practice address
4315 Diplomacy Dr Anchorage AK 99508-5926
Phone: (907) 563-2662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 4281 Alaska

Profile Details

NPI number 1104036490
LBN Legal business name Hennessy, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Sep 24th, 2008 - about 17 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 1104036490 NPPES
Alaska MEDICAID MD7759

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