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
Phone: (360) 336-9757
Fax: (360) 336-2088
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255373767 | NPPES |
Washington | MEDICAID | 8397804 |
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