Hengstebeck, Elizabeth

Hengstebeck, Elizabeth is an individual health care provider with primary practice located at 804 Service Rd A142, East Lansing MI 48824-7015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hengstebeck, Elizabeth can be contacted via phone (517) 353-3050.

Contact Information

Primary practice address
804 Service Rd A142 East Lansing MI 48824-7015
Fax: (517) 432-3742
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8643 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101012728 Michigan

Profile Details

NPI number 1457355042
LBN Legal business name Hengstebeck, Elizabeth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 8th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457355042 NPPES
Florida Other 47880Y MEDICARE PART B, PTAN
Florida MEDICAID 1457355042 MEDICARE PART B, PTAN
Florida Other 99388 MEDICARE PART B, PTAN
Florida MEDICAID 265730900 MEDICARE PART B, PTAN

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