Hennigan, Stephen Hall
Hennigan, Stephen Hall is an individual health care provider with primary practice located at 4038 N Remington Dr Ste 4 , Fayetteville AR 72703-6314. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hennigan, Stephen Hall can be contacted via phone (479) 444-6522.Contact Information
Primary practice address
4038 N Remington Dr Ste 4
Fayetteville AR 72703-6314
Phone: (479) 444-6522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E0104 | Arkansas |
Profile Details
| NPI number | 1386728996 |
|---|---|
| LBN Legal business name | Hennigan, Stephen Hall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1386728996 | NPPES |
| Arkansas | Other | 5J384 | BLUECROSS BLUE SHIELD |
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