Hessburg, Philip Charles

Hessburg, Philip Charles is an sole proprietor health care provider with primary practice located at 15415 E Jefferson Street , Grosse Pointe Park MI 48230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hessburg, Philip Charles can be contacted via phone (313) 824-4710.

Contact Information

Primary practice address
15415 E Jefferson Street Grosse Pointe Park MI 48230
Phone: (313) 824-4710
Fax: (313) 822-4233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 430102399 Michigan

Profile Details

NPI number 1649445867
LBN Legal business name Hessburg, Philip Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 16 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 1649445867 NPPES
Michigan MEDICAID 1157836

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