Provider Demographics
NPI:1780605121
Name:HENNESSY, SHUEY & SCHNEE, CHARTERED
Entity type:Organization
Organization Name:HENNESSY, SHUEY & SCHNEE, CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:HENNESSY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:410-646-0220
Mailing Address - Street 1:1001 PINE HEIGHTS AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5208
Mailing Address - Country:US
Mailing Address - Phone:410-646-0220
Mailing Address - Fax:410-646-3975
Practice Address - Street 1:1001 PINE HEIGHTS AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5208
Practice Address - Country:US
Practice Address - Phone:410-646-0220
Practice Address - Fax:410-646-3975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD979511100Medicaid
MD4625380001Medicare NSC
MD979511100Medicaid