Hebda, Thomas Walter
Hebda, Thomas Walter is an individual health care provider with primary practice located at 7730 N Union Blvd Suite 103, Colorado Springs CO 80920-4084. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hebda, Thomas Walter can be contacted via phone (719) 590-1500.Contact Information
Primary practice address
7730 N Union Blvd Suite 103
Colorado Springs CO 80920-4084
Phone: (719) 590-1500
Fax: (719) 590-9379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 105579 | Colorado |
Profile Details
| NPI number | 1306831466 |
|---|---|
| LBN Legal business name | Hebda, Thomas Walter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1306831466 | NPPES |
| Colorado | MEDICAID | 04019899 |
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