Hiestand, John Joseph
Hiestand, John Joseph is an sole proprietor health care provider with primary practice located at 2575 Hayes Ave Suite 1, Fremont OH 43420-5201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hiestand, John Joseph can be contacted via phone (419) 332-1551.Contact Information
Primary practice address
2575 Hayes Ave Suite 1
Fremont OH 43420-5201
Phone: (419) 332-1551
Fax: (419) 332-1132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-061218 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-061218 | Ohio |
Profile Details
| NPI number | 1821085952 |
|---|---|
| LBN Legal business name | Hiestand, John Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Oct 29th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821085952 | NPPES |
| Ohio | Other | 0828699 | BCMH |
| Ohio | Other | 4269829 | BCMH |
| Ohio | MEDICAID | 0828699 | BCMH |
| Ohio | Other | 110049825 | BCMH |
| Ohio | Other | 36D067581 | BCMH |
| Ohio | Other | 000000028816 | BCMH |
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