Heron, James John

Heron, James John is an sole proprietor health care provider with primary practice located at 425 Fisher St , Marquette MI 49855-4521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Heron, James John can be contacted via phone (906) 226-3576.

Contact Information

Primary practice address
425 Fisher St Marquette MI 49855-4521
Phone: (906) 226-3576
Fax: (906) 226-9533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 4301043907 Michigan

Profile Details

NPI number 1942364609
LBN Legal business name Heron, James John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942364609 NPPES
Michigan MEDICAID 4509057

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