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NPI Code Detail

MEDICARE: DR. SCOTT CHARLES HENNES M.D.

MEDICARE: DR. SCOTT CHARLES HENNES 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
1207Q00000XFamily Medicine PhysicianC43338CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457440547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT CHARLES HENNES M.D.
Provider Business Mailing Address
First Line : 911 E TUOLUMNE RD
Second Line :
City : TURLOCK
State : CA
Zip : 95382-1543
Country : US
Telephone Number : 209-668-4101
Fax Number : 209-668-3758
Provider Business Practice Location Address
First Line : 911 E TUOLUMNE RD
Second Line :
City : TURLOCK
State : CA
Zip : 95382-1543
Country : US
Telephone Number : 209-668-4101
Fax Number : 209-668-3758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 02/11/2022

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Directions to “ DR. SCOTT CHARLES HENNES M.D.” Practice Location

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