Hennigan, Stephanie Lynn
Hennigan, Stephanie Lynn is an individual health care provider with primary practice located at 3140 Horizon Rd Ste 101 , Rockwall TX 75032-7805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Hennigan, Stephanie Lynn can be contacted via phone (972) 664-0644.Contact Information
Primary practice address
3140 Horizon Rd Ste 101
Rockwall TX 75032-7805
Phone: (972) 664-0644
Fax: (972) 664-0301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | A96157 | California |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | M9353 | Texas |
Profile Details
| NPI number | 1528076940 |
|---|---|
| LBN Legal business name | Hennigan, Stephanie Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Feb 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528076940 | NPPES |
| Texas | MEDICAID | 194516401 | |
| Texas | MEDICAID | 194516406 | |
| Texas | MEDICAID | 194516402 |
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