Hegewald, Mark D
Hegewald, Mark D is an individual health care provider with primary practice located at 34612 6Th Ave S Suite 200, Federal Way WA 98003-8723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Hegewald, Mark D can be contacted via phone (253) 661-2594.Contact Information
Primary practice address
34612 6Th Ave S Suite 200
Federal Way WA 98003-8723
Phone: (253) 661-2594
Fax: (253) 661-2694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | MD00025475 | Washington |
Profile Details
| NPI number | 1700825304 |
|---|---|
| LBN Legal business name | Hegewald, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 29th, 2011 - about 13 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 | 1700825304 | NPPES |
| Washington | Other | 1427128198 | GROUP NPI |
| Washington | MEDICAID | 1056662 | GROUP NPI |
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