Hedstrom, Heather Ann

Hedstrom, Heather Ann is an sole proprietor health care provider with primary practice located at 100 Doctors Dr Ste B , Panama City FL 32405-7609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Hedstrom, Heather Ann can be contacted via phone (850) 392-0020.

Contact Information

Primary practice address
100 Doctors Dr Ste B Panama City FL 32405-7609
Fax: (850) 392-7897
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME125560 Florida

Profile Details

NPI number 1114190469
LBN Legal business name Hedstrom, Heather Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2008
Last updated Feb 18th, 2019 - about 6 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 1114190469 NPPES
Florida MEDICAID 016003400

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