Schefferly, Heidi Lynn

Schefferly, Heidi Lynn is an individual health care provider with primary practice located at 306 W Washington Ave Suite 104, Jackson MI 49201-2169. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Schefferly, Heidi Lynn can be contacted via phone (517) 783-6928.

Contact Information

Primary practice address
306 W Washington Ave Suite 104 Jackson MI 49201-2169
Phone: (517) 783-6928
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003898 Michigan

Profile Details

NPI number 1063403632
LBN Legal business name Schefferly, Heidi Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Dec 17th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063403632 NPPES
Michigan Other 410045602 PALMETTO GBA RR MEDICARE
Michigan Other BCBS OF MICHIGAN PALMETTO GBA RR MEDICARE
Michigan Other 1312340001 PALMETTO GBA RR MEDICARE
Michigan Other VCM-0149 PALMETTO GBA RR MEDICARE
Michigan Other 22-20000 PALMETTO GBA RR MEDICARE

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