MEDICARE: HENNESSY, SHUEY & SCHNEE, CHARTERED

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
1	207T00000X	Neurological Surgery Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1780605121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENNESSY, SHUEY & SCHNEE, CHARTERED

Provider Business Mailing Address
First Line	:	1001 PINE HEIGHTS AVE
Second Line	:	SUITE 304
City	:	BALTIMORE
State	:	MD
Zip	:	21229-5208
Country	:	US
Telephone Number	:	410-646-0220
Fax Number	:	410-646-3975

Provider Business Practice Location Address
First Line	:	1001 PINE HEIGHTS AVE
Second Line	:	SUITE 304
City	:	BALTIMORE
State	:	MD
Zip	:	21229-5208
Country	:	US
Telephone Number	:	410-646-0220
Fax Number	:	410-646-3975

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	ROBERT G HENNESSY JR.
Credential	:	M.D.
Telephone Number	:	410-646-0220

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	05/14/2012

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Directions to “HENNESSY, SHUEY & SCHNEE, CHARTERED ” Practice Location

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