Heddleson, James D.

Heddleson, James D. is an individual health care provider with primary practice located at 335 Glessner Ave Medcentral Hospital, Mansfield OH 44903-2269. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Heddleson, James D. can be contacted via phone (419) 520-2379.

Contact Information

Primary practice address
335 Glessner Ave Medcentral Hospital Mansfield OH 44903-2269
Phone: (419) 520-2379
Fax: (419) 520-2824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34008176 Ohio
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 34008176 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 34008176 Ohio

Profile Details

NPI number 1538141759
LBN Legal business name Heddleson, James D.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Oct 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538141759 NPPES
Ohio MEDICAID 2539944
Ohio Other 34008176

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