Heidel, Paul A
Heidel, Paul A is an individual health care provider with primary practice located at 12251 James St Suite 400, Holland MI 49424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Heidel, Paul A can be contacted via phone (616) 494-5548.Contact Information
Primary practice address
12251 James St Suite 400
Holland MI 49424
Phone: (616) 494-5548
Fax: (616) 393-5643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 4301029419 | Michigan |
Profile Details
| NPI number | 1962509349 |
|---|---|
| LBN Legal business name | Heidel, Paul A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962509349 | NPPES |
| Michigan | MEDICAID | 4363112 | |
| Michigan | MEDICAID | 4363121 | |
| Michigan | MEDICAID | 4363130 | |
| Michigan | MEDICAID | 4363140 |
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