Individual
DR. THOMAS JAMES HENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
515 S SYCAMORE ST, PETERSBURG, VA 23803-5037
(804) 733-8377
(804) 733-8459
Mailing address
515 S SYCAMORE ST, PETERSBURG, VA 23803-5037
(804) 733-8377
(804) 733-8459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001801
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285792424
NPI NUMBER
VA
Enumeration date
12/04/2006
Last updated
08/13/2015
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