Individual
DR. JOSEPH HENEGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16220 AIRLINE HWY, PRAIRIEVILLE, LA 70769-4248
(225) 761-5200
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207040
LA
207R00000X
Internal Medicine Physician
L.3562R
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2372734
—
LA
05
—
R11004
—
AL
Enumeration date
12/09/2011
Last updated
11/05/2024
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