Heidelberg, Karen Ann

Heidelberg, Karen Ann is an individual health care provider with primary practice located at 20400 Livernois Ave , Detroit MI 48221-1348. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Heidelberg, Karen Ann can be contacted via phone (313) 864-3766.

Contact Information

Primary practice address
20400 Livernois Ave Detroit MI 48221-1348
Phone: (313) 864-3766
Fax: (313) 864-8134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301066952 Michigan

Profile Details

NPI number 1467406439
LBN Legal business name Heidelberg, Karen Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated May 19th, 2020 - about 4 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 1467406439 NPPES
Michigan MEDICAID 3437329

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