Hennigan, Michael W

Hennigan, Michael W is an sole proprietor health care provider with primary practice located at 1847 Florida Ave , Panama City FL 32405-4640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Hennigan, Michael W can be contacted via phone (850) 914-8660.

Contact Information

Primary practice address
1847 Florida Ave Panama City FL 32405-4640
Phone: (850) 914-8660
Fax: (850) 914-6036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME0064533 Florida

Profile Details

NPI number 1427040906
LBN Legal business name Hennigan, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Mar 21st, 2017 - about 8 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 1427040906 NPPES
Florida MEDICAID 374247400

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