National Provider Identifier Database

SCOTT R HENNEMAN, MD – NPI #1013173814
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

SCOTT R HENNEMAN, MD
1304 FAWCETT AVE STE 100
TACOMA, WA98402
Phone: 253-761-4200
Fax: 253-761-4201
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Neuroradiology 2085N0700X

* Indicates primary specialty

NPI Profile & details for SCOTT R HENNEMAN

NPI Number 1013173814
Credentials MD
Entity Individual
Enumeration date 07/31/2008
Last updated 08/30/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • OR License #: MD187713
  • WA License #: MD60392348
  • WA Medicaid: 2029105
Hospital affiliation n/a

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.

Reviews for SCOTT R HENNEMAN, MD

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