Hegstrom, Todd E.

Hegstrom, Todd E. is an individual health care provider with primary practice located at 2351 G Rd , Grand Junction CO 81505-9641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hegstrom, Todd E. can be contacted via phone (970) 644-3237.

Contact Information

Primary practice address
2351 G Rd Grand Junction CO 81505-9641
Phone: (970) 644-3237
Fax: (970) 644-3259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0025745 Colorado

Profile Details

NPI number 1669474896
LBN Legal business name Hegstrom, Todd E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 17th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669474896 NPPES
Colorado MEDICAID 74609858

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