Hedderman, Michael James

Hedderman, Michael James is an individual health care provider with primary practice located at 2450 W Charleston Blvd , Las Vegas NV 89102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hedderman, Michael James can be contacted via phone (702) 877-8660.

Contact Information

Primary practice address
2450 W Charleston Blvd Las Vegas NV 89102
Phone: (702) 877-8660
Fax: (702) 258-1322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA00015 Nevada

Profile Details

NPI number 1386615045
LBN Legal business name Hedderman, Michael James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Apr 11th, 2012 - about 12 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 1386615045 NPPES
Nevada MEDICAID 2402329

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