Dr. Shane Patrick Hennessy
Family Doctor - Sports Medicine
800 Plaza Dr Ste 400
Belle Vernon
, Pennsylvania 15012
Dr. Shane Patrick Hennessy
Family Doctor - Sports Medicine
800 Plaza Dr Ste 400
Belle Vernon
, Pennsylvania 15012
(724) 379-5874
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Shane Patrick Hennessy
- 800 Plaza Dr Suite 400
- Belle Vernon, PA
- Zip : 15012-4019
- Fax : (724) 379-5874
- Phone : (724) 379-5816
Second Address
- Dr. Shane Patrick Hennessy
- 800 Plaza Dr Ste 400
- Belle Vernon, PA
- Zip : 15012
- Fax : (724) 379-5813
- Phone : (724) 379-5816
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | OS018852 | PA |
National Provider Identifier
| NPI | 1033520226 |
|---|---|
| Provider Name | Dr. Shane Patrick Hennessy |
| First Address | Belle Vernon, PA 15012-4019 |
| Second Address | Belle Vernon, PA 15012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2014 |
| Last Update Date | 02/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.