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Contact Information

THERESA HENNIS
2963 ST RT 42 NE
LONDON, OH43140
 Phone: 740-604-4897
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for THERESA HENNIS · (Female)

NPI Number 1366116774
Status Active
Credentials
Entity Individual
Enumeration date 08/09/2021
Last updated 08/09/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OH Medicaid 0437476
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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