Henningson, Carl T

Henningson, Carl T is an individual health care provider with primary practice located at 1707 Atlantic Ave , Manasquan NJ 08736-1147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Henningson, Carl T can be contacted via phone (732) 528-0760.

Contact Information

Primary practice address
1707 Atlantic Ave Manasquan NJ 08736-1147
Fax: (732) 528-0764
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25MA07630600 New Jersey

Profile Details

NPI number 1609858463
LBN Legal business name Henningson, Carl T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609858463 NPPES
New Jersey MEDICAID 1472305

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