Deblock, Heidi Frutchy

Deblock, Heidi Frutchy is an sole proprietor health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3175. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Deblock, Heidi Frutchy can be contacted via phone (207) 662-4618.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3175
Phone: (207) 662-4618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 188769 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD22762 Maine
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD22762 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD22762 Maine

Profile Details

NPI number 1922095892
LBN Legal business name Deblock, Heidi Frutchy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Feb 19th, 2021 - about 4 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 1922095892 NPPES
New York MEDICAID 01583788

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