Hietala, Timothy John

Hietala, Timothy John is an individual health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. He recently has only one registered license in Nursing Service Providers / Administrator, which is considered as his primary health care specialty. Hietala, Timothy John can be contacted via phone (313) 576-1000.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Phone: (313) 576-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 4704320232 Michigan

Profile Details

NPI number 1376269670
LBN Legal business name Hietala, Timothy John
Credentials BSN RN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2022
Last updated Oct 18th, 2022 - about 2 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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