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Douglas R Henneberg

Sports Medicine

1000 E Henrietta Rd
Rochester , New York 14623-5701

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Douglas R Henneberg

Sports Medicine

1000 E Henrietta Rd
Rochester , New York 14623-5701

(585) 292-2848

Write a Review Save Call

Douglas R Henneberg

Sports Medicine

1000 E Henrietta Rd
Rochester , New York 14623-5701

(585) 292-2848 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

1000 E Henrietta Rd Rochester , New York 14623-5701

First Address

  • Douglas R Henneberg
  • 1000 E Henrietta Rd
  • Rochester, NY
  • Zip : 14623-5701
  • Phone : (585) 292-2848

Second Address

  • Douglas R Henneberg
  • 1000 E Henrietta Rd
  • Rochester, NY
  • Zip : 14623-5701
  • Phone : (585) 292-2848

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FAQs


Where did Douglas R Henneberg attend graduate school?

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Where did Douglas R Henneberg do his residency?

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Where did Douglas R Henneberg do his fellowship?

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Is Douglas R Henneberg board certified?

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What type of doctor is Douglas R Henneberg

Sports Medicine

In what state does Douglas R Henneberg practice in?

New York

Where is Douglas R Henneberg ’s practice located?

1000 E Henrietta Rd , Rochester, New York, 14623-5701

What is Douglas R Henneberg ’s gender?

Male

Is Douglas R Henneberg a sole practitioner?

No

Is Douglas R Henneberg accepting new patients?

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What languages does Douglas R Henneberg speak?

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Does Douglas R Henneberg accept insurance?

Yes, Douglas R Henneberg accepts insurance

Does Douglas R Henneberg offers telemedicine?

Douglas R Henneberg has not indicated if he offers telemedicine

What is Douglas R Henneberg ’s professional license number?

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What is Douglas R Henneberg ’s NPI number?

1164096962

Does Douglas R Henneberg have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine 001092 NY
Y 213ES0000X Sports Medicine 001092 NY

National Provider Identifier

NPI 1164096962
Provider Name Douglas R Henneberg
First Address Rochester, NY 14623-5701
Second Address Rochester, NY 14623-5701
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 17/05/2021
Last Update Date 17/05/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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