Heidebrink, Judith L

Heidebrink, Judith L is an individual health care provider with primary practice located at 1500 East Medical Center Dr 1St Floor Taubman Ctr Recp C, Ann Arbor MI 48109-5322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Heidebrink, Judith L can be contacted via phone (734) 936-9010.

Contact Information

Primary practice address
1500 East Medical Center Dr 1St Floor Taubman Ctr Recp C Ann Arbor MI 48109-5322
Phone: (734) 936-9010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301059729 Michigan

Profile Details

NPI number 1851480727
LBN Legal business name Heidebrink, Judith L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 21st, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851480727 NPPES
Michigan MEDICAID 3161785

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