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NPI Code Detail

MEDICARE: DR. JASON HENNEY M.D.

MEDICARE: DR. JASON HENNEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician01068092AIN
2207P00000XEmergency Medicine Physician95566SC
3207P00000XEmergency Medicine Physician4301090237MI
4207P00000XEmergency Medicine PhysicianME171294FL

General Provider Information

NPI Number : 1639376973
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON HENNEY M.D.
Provider Business Mailing Address
First Line : 16789 CHANDLER RD APT 1432
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-8595
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1215 E MICHIGAN AVE
Second Line :
City : LANSING
State : MI
Zip : 48912-1811
Country : US
Telephone Number : 517-364-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 05/05/2026

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Directions to “ DR. JASON HENNEY M.D.” Practice Location

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