Margaret M. Hennessy
Adolescent Medicine
3807 Spring St
Racine
, Wisconsin 53405-1667
Margaret M. Hennessy
Adolescent Medicine
3807 Spring St
Racine
, Wisconsin 53405-1667
(262) 687-8282
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Margaret M. Hennessy
- 3807 Spring St
- Racine, WI
- Zip : 53405-1667
- Phone : (262) 687-8282
Second Address
- Margaret M. Hennessy
- 3807 Spring St
- Racine, WI
- Zip : 53405-1667
- Phone : (262) 687-8282
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 39715 | WI |
National Provider Identifier
| NPI | 1194759498 |
|---|---|
| Provider Name | Margaret M. Hennessy |
| First Address | Racine, WI 53405-1667 |
| Second Address | Racine, WI 53405-1667 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H01541 | (02) |
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.