Hettinger, Richard
Hettinger, Richard is an sole proprietor health care provider with primary practice located at 3900 Floyd Blvd , Sioux City IA 51108-1552. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hettinger, Richard can be contacted via phone (712) 239-5812.Contact Information
Primary practice address
3900 Floyd Blvd
Sioux City IA 51108-1552
Phone: (712) 239-5812
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6429 | Iowa |
Profile Details
| NPI number | 1750591160 |
|---|---|
| LBN Legal business name | Hettinger, Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750591160 | NPPES |
| Iowa | MEDICAID | 0166330 |
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