Hedberg, John

Hedberg, John is an individual health care provider with primary practice located at 165 S Union Blvd Ste 800, Lakewood CO 80228-2215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hedberg, John can be contacted via phone (303) 988-2680.

Contact Information

Primary practice address
165 S Union Blvd Ste 800 Lakewood CO 80228-2215
Fax: (303) 986-8057
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23617 Colorado

Profile Details

NPI number 1578560942
LBN Legal business name Hedberg, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 4th, 2013 - 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 1578560942 NPPES
Colorado MEDICAID 01236173

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