Gjersoe, Heidi S
Gjersoe, Heidi S is an individual health care provider with primary practice located at 3304 Cooley Ct , Portage MI 49024-7430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Gjersoe, Heidi S can be contacted via phone (269) 349-2266.Contact Information
Primary practice address
3304 Cooley Ct
Portage MI 49024-7430
Phone: (269) 349-2266
Fax: (269) 349-0792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | HG060600 | Michigan |
Profile Details
| NPI number | 1679538581 |
|---|---|
| LBN Legal business name | Gjersoe, Heidi S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Dec 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679538581 | NPPES |
| Michigan | Other | 1417961137 | BCBSM - BRONSON |
| Michigan | Other | 4319176 | BCBSM - BRONSON |
| Michigan | Other | 0M92920001 | BCBSM - BRONSON |
| Michigan | Other | 1679538581 | BCBSM - BRONSON |
| Michigan | MEDICAID | 1679538581 | BCBSM - BRONSON |
| Michigan | Other | 100987 | BCBSM - BRONSON |
| Michigan | Other | 1851569958 | BCBSM - BRONSON |
| Michigan | Other | HG060600 | BCBSM - BRONSON |
| Michigan | Other | 0P56360004 | BCBSM - BRONSON |
| Michigan | Other | 100C910690 | BCBSM - BRONSON |
| Michigan | Other | 383309299137 | BCBSM - BRONSON |
| Michigan | Other | 100C914640 | BCBSM - BRONSON |
| Michigan | MEDICAID | 104171768 | BCBSM - BRONSON |
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