Hennesy, Stacey Lorraine

Hennesy, Stacey Lorraine is an individual health care provider with primary practice located at 14300 Orchard Pkwy , Westminster CO 80023-9206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hennesy, Stacey Lorraine can be contacted via phone (303) 426-2580.

Contact Information

Primary practice address
14300 Orchard Pkwy Westminster CO 80023-9206
Fax: (303) 426-2590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35332 Colorado

Profile Details

NPI number 1205821824
LBN Legal business name Hennesy, Stacey Lorraine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 26th, 2018 - about 6 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 1205821824 NPPES
Colorado MEDICAID 01353325

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