Hephner, Michelle Marie

Hephner, Michelle Marie is an individual health care provider with primary practice located at 885 Roosevelt Rd , Glen Ellyn IL 60137-6141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hephner, Michelle Marie can be contacted via phone (630) 545-3760.

Contact Information

Primary practice address
885 Roosevelt Rd Glen Ellyn IL 60137-6141
Phone: (630) 545-3760
Fax: (630) 545-3769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036118939 Illinois

Profile Details

NPI number 1235346719
LBN Legal business name Hephner, Michelle Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Apr 4th, 2013 - about 11 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 1235346719 NPPES
Illinois Other 487450 MEDICARE GROUP NUMBER
Illinois Other 0222075 MEDICARE GROUP NUMBER
Illinois Other 920780 MEDICARE GROUP NUMBER
Illinois MEDICAID 036118939 MEDICARE GROUP NUMBER
Illinois Other 3631498336019001 MEDICARE GROUP NUMBER
Illinois Other P00686147 MEDICARE GROUP NUMBER
Illinois Other CA4748 MEDICARE GROUP NUMBER

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