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Contact Information

AMY J HENNESSY
5951 RENAISSANCE PL
TOLEDO, OH43623
 Phone: 419-824-2288
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMY J HENNESSY · (Female)

NPI Number 1629403134
Status Active
Credentials
Entity Individual
Enumeration date 09/04/2013
Last updated 08/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • License # 003789
  • OH License # 50.003789RX
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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