Heidelbaugh, Joel J

Heidelbaugh, Joel J is an individual health care provider with primary practice located at 200 Arnet St Suite 200, Ypsilanti MI 48198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Heidelbaugh, Joel J can be contacted via phone (734) 482-6221.

Contact Information

Primary practice address
200 Arnet St Suite 200 Ypsilanti MI 48198
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301074459 Michigan

Profile Details

NPI number 1689762114
LBN Legal business name Heidelbaugh, Joel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 24th, 2011 - 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 1689762114 NPPES
Michigan MEDICAID 4138431

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