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:
Map and Directions
Authorized official contact:
Name: Hegstrom, Michael Terrance Doctor of Medicine (MD)
Phone: (304) 327-1888

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942359401 NPPES
West Virginia MEDICAID 3810001358

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