Marissa Amber Van Hennik in Waterbury - Medical
Marissa Amber Van Hennik - NPI 1740213727
Marissa Amber Van Hennik is a Medical in Waterbury, Connecticut. Marissa Amber Van Hennik practices all healthcare services and medical treatments related to Medical. The NPI Number for Marissa Amber Van Hennik is 1740213727. The last update date is 2007-09-12.
Marissa Amber Van Hennik's current location address is 56 Franklin St, Waterbury, Connecticut. You can contact this provider via phone number 2037098873 and fax number 2037098689. The mailing address for Marissa Amber Van Hennik is 56 Franklin St, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa Amber Van Hennik |
|---|---|
| Address | 56 Franklin St, Waterbury, Connecticut |
| Phone Number | 2037098873 |
| Fax Number | 2037098689 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1740213727 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 56 Franklin St |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67061221 |
| Phone Number | 2037098873 |
| Fax Number | 2037098689 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1324 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Post Comment/ Review Below
What is the Marissa Amber Van Hennik's unique identification number?
The Marissa Amber Van Hennik has been assigned the NPI (National Provider Identifier) Number 1740213727 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Marissa Amber Van Hennik?
The Marissa Amber Van Hennik is physically situated at 56 Franklin St, in the city of Waterbury, state of CT, with the postal code 67061221.
What is Marissa Amber Van Hennik's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marissa Amber Van Hennik's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Marissa Amber Van Hennik receive its 1740213727 assignment from the Centers for Medicare & Medicaid Services?
The Marissa Amber Van Hennik was assigned its 1740213727 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the Marissa Amber Van Hennik's information last updated?
The Marissa Amber Van Hennik's information was last updated on 2007-09-12.
NPI Number: 1982608949
Address: 1320 Linglestown Road, Harrisburg, PA