Heithoff, Scott M
Heithoff, Scott M is an individual health care provider with primary practice located at 940 River Centre Dr , Port Huron MI 48060-4463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Heithoff, Scott M can be contacted via phone (810) 985-4900.Contact Information
Primary practice address
940 River Centre Dr
Port Huron MI 48060-4463
Phone: (810) 985-4900
Fax: (810) 985-3634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101013203 | Michigan |
Profile Details
| NPI number | 1972505816 |
|---|---|
| LBN Legal business name | Heithoff, Scott M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1972505816 | NPPES |
| Michigan | MEDICAID | 4409516 |
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