Heidt, David Graham
Heidt, David Graham is an individual health care provider with primary practice located at 5301 E Huron River Dr , Ypsilanti MI 48197. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Heidt, David Graham can be contacted via phone (734) 712-7017.Contact Information
Primary practice address
5301 E Huron River Dr
Ypsilanti MI 48197
Phone: (734) 712-7017
Fax: (734) 712-2844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.095889 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301077820 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301077820 | Michigan |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 4301077820 | Michigan |
Profile Details
| NPI number | 1578683231 |
|---|---|
| LBN Legal business name | Heidt, David Graham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jul 19th, 2018 - about 7 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 | 1578683231 | NPPES |
| Ohio | MEDICAID | 3077576 |
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