Hegg, Theodore D

Hegg, Theodore D is an individual health care provider with primary practice located at 307 S 13Th St Ste 300 , Mount Vernon WA 98274-4109. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hegg, Theodore D can be contacted via phone (360) 336-9757.

Contact Information

Primary practice address
307 S 13Th St Ste 300 Mount Vernon WA 98274-4109
Fax: (360) 336-2088
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00014826 Washington

Profile Details

NPI number 1255373767
LBN Legal business name Hegg, Theodore D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 3rd, 2009 - about 16 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 1255373767 NPPES
Washington MEDICAID 8397804

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