Hettema, John M

Hettema, John M is an individual health care provider with primary practice located at 8441 Riverside Parkway Cb1, Suite 1100, Bryan TX 77807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hettema, John M can be contacted via phone (979) 774-8200.

Contact Information

Primary practice address
8441 Riverside Parkway Cb1, Suite 1100 Bryan TX 77807
Phone: (979) 774-8200
Fax: (979) 776-6905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101056225 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X S3188 Texas

Profile Details

NPI number 1639259088
LBN Legal business name Hettema, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Oct 23rd, 2019 - about 6 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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