Hegewald, Kimberly A
Hegewald, Kimberly A is an individual health care provider with primary practice located at 3537 W Front St Ste G , Traverse City MI 49684-7943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hegewald, Kimberly A can be contacted via phone (231) 935-8822.Contact Information
Primary practice address
3537 W Front St Ste G
Traverse City MI 49684-7943
Phone: (231) 935-8822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301075523 | Michigan |
Profile Details
| NPI number | 1851379770 |
|---|---|
| LBN Legal business name | Hegewald, Kimberly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Dec 21st, 2020 - about 5 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 | 1851379770 | NPPES |
| Michigan | MEDICAID | 4290606 |
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