Michael T. Hegstrom,Md, Pllc
LBN: Michael T. Hegstrom,Md, Pllc
Michael T. Hegstrom,Md, Pllc is an health care organization with primary practice located at 510 Cherry Street Suite 206, Blgd. A, Bluefield WV 24701-3341. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Michael T. Hegstrom,Md, Pllc can be contacted via phone (304) 327-1888, or through Hegstrom, Michael Terrance via phone (304) 327-1888.
Contact Information
Primary practice address
510 Cherry Street Suite 206, Blgd. A
Bluefield WV 24701-3341
Phone: (304) 327-1888
Fax: (304) 327-1889
Website:
Authorized official contact:
Name: Hegstrom, Michael Terrance Doctor of Medicine (MD)
Phone: (304) 327-1888
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 21695 | West Virginia |
Profile Details
NPI number | 1942359401 |
---|---|
LBN Legal business name | Michael T. Hegstrom,Md, Pllc |
DBA Doing business as | |
Authorized official | Hegstrom, Michael Terrance Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 10th, 2007 |
Last updated | Aug 9th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942359401 | NPPES |
West Virginia | MEDICAID | 3810001358 |
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