Jack Heethouse Do Pllc

LBN: Jack Heethouse Do Pllc
Jack Heethouse Do Pllc is an health care organization with primary practice located at 1675 Leahy St Suite 120, Muskegon MI 49442-5500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Jack Heethouse Do Pllc can be contacted via phone (231) 722-7245, or through Heethouse, Jack W via phone (231) 722-7245.

Contact Information

Primary practice address
1675 Leahy St Suite 120 Muskegon MI 49442-5500
Phone: (231) 722-7245
Fax: (231) 722-6103
Website:
Map and Directions
Authorized official contact:
Name: Heethouse, Jack W Doctor of Osteopathy (DO)
Phone: (231) 722-7245

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101012999 Michigan

Profile Details

NPI number 1538354964
LBN Legal business name Jack Heethouse Do Pllc
DBA Doing business as
Authorized official Heethouse, Jack W Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2007
Last updated Nov 6th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538354964 NPPES
Michigan MEDICAID 4308380

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