Individual
DR. JAMES THEODORE HENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6238
Mailing address
1230 - 7TH AVENUE, LONGVIEW, WA 98632
(360) 636-6238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1020
OR
152W00000X
Optometrist
Primary
WA OD00000918
WA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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