Hegstrom, John Lawrence

Hegstrom, John Lawrence is an individual health care provider with primary practice located at 2222 N Nevada Avenue , Colorado Springs CO 80907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Hegstrom, John Lawrence can be contacted via phone (719) 776-5000.

Contact Information

Primary practice address
2222 N Nevada Avenue Colorado Springs CO 80907
Phone: (719) 776-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 23966 Colorado
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G7526 Texas

Profile Details

NPI number 1538124110
LBN Legal business name Hegstrom, John Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1538124110 NPPES
Colorado MEDICAID 01239664

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