Heckman, Ted Alan
Heckman, Ted Alan is an sole proprietor health care provider with primary practice located at 5629 Canyon View Drive Ste B, Paradise CA 95969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Heckman, Ted Alan can be contacted via phone (530) 876-3141.Contact Information
Primary practice address
5629 Canyon View Drive Ste B
Paradise CA 95969
Phone: (530) 876-3141
Fax: (530) 876-3149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | G36530 | California |
Profile Details
| NPI number | 1730143116 |
|---|---|
| LBN Legal business name | Heckman, Ted Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Sep 6th, 2023 - about 2 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 | 1730143116 | NPPES |
| California | Other | G36530 | STATE LICENSE |
| California | MEDICAID | GR0014101 | STATE LICENSE |
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