Hettle, Matthew Willman

Hettle, Matthew Willman is an individual health care provider with primary practice located at 4466 W Bristol Rd , Flint MI 48507-3170. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Hettle, Matthew Willman can be contacted via phone (810) 733-1200.

Contact Information

Primary practice address
4466 W Bristol Rd Flint MI 48507-3170
Phone: (810) 733-1200
Fax: (810) 733-0688
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301065543 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 4301065543 Michigan

Profile Details

NPI number 1134100415
LBN Legal business name Hettle, Matthew Willman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Sep 19th, 2013 - about 12 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 1134100415 NPPES
Michigan Other 0B51156 GROUP BCBS
Michigan Other 0N45090 GROUP BCBS
Michigan MEDICAID 4303713 GROUP BCBS
Michigan Other 1215930490 GROUP BCBS
Michigan Other CB0923 GROUP BCBS

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