Berdin, Heidi A

Berdin, Heidi A is an individual health care provider with primary practice located at 1830 Mesquite Ave Suite C, Lake Havasu City AZ 86403-5885. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Berdin, Heidi A can be contacted via phone (928) 855-6966.

Contact Information

Primary practice address
1830 Mesquite Ave Suite C Lake Havasu City AZ 86403-5885
Phone: (928) 855-6966
Fax: (928) 855-6974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 42565 Arizona

Profile Details

NPI number 1659368751
LBN Legal business name Berdin, Heidi A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 9th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659368751 NPPES
Arizona MEDICAID 479811

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