Hiemstra, John R
Hiemstra, John R is an individual health care provider with primary practice located at 1610 Grover St Suite D-1, Lynden WA 98264-1539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hiemstra, John R can be contacted via phone (360) 354-1333.Contact Information
Primary practice address
1610 Grover St Suite D-1
Lynden WA 98264-1539
Phone: (360) 354-1333
Fax: (360) 354-5399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP00002028 | Washington |
Profile Details
| NPI number | 1639102502 |
|---|---|
| LBN Legal business name | Hiemstra, John R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 7th, 2012 - about 13 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 | 1639102502 | NPPES |
| Washington | Other | 3976HI | REGENCE BLUESHIELD |
| Washington | Other | P00241348 | REGENCE BLUESHIELD |
| Washington | Other | 0199675 | REGENCE BLUESHIELD |
| Washington | MEDICAID | 8431520 | REGENCE BLUESHIELD |
| Washington | Other | 423898076 | REGENCE BLUESHIELD |
| Washington | Other | 8906770 | REGENCE BLUESHIELD |
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