National Provider Identifier Database

JOHN C HENEGAN JR, MD – NPI #1114188471
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

JOHN C HENEGAN JR, MD
2500 N STATE ST
JACKSON, MS39216-4500
Phone: 601-984-5616
Fax: 601-984-5689
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for JOHN C HENEGAN JR

NPI Number 1114188471
Credentials MD
Entity Individual
Enumeration date 06/19/2008
Last updated 08/23/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 22684
  • MS Medicaid: 02433543
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.

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