1942394390 NPI number — DR. DELMER WARD HENNINGER JR. MD

Table of content: DR. DELMER WARD HENNINGER JR. MD (NPI 1942394390)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942394390 NPI number — DR. DELMER WARD HENNINGER JR. MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HENNINGER
Provider First Name:
DELMER
Provider Middle Name:
WARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942394390
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
39755 DATE ST
Provider Second Line Business Mailing Address:
#101
Provider Business Mailing Address City Name:
MURRIETA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92563-2007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-698-6629
Provider Business Mailing Address Fax Number:
951-698-8732

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
39755 DATE ST
Provider Second Line Business Practice Location Address:
#101
Provider Business Practice Location Address City Name:
MURRIETA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92563-2007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-698-6629
Provider Business Practice Location Address Fax Number:
951-698-8732
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RS0012X , with the licence number:  A41831 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: GR0082740 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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