Heerema, Mark S

Heerema, Mark S is an individual health care provider with primary practice located at 3377 Riverbend Dr Sacred Heart Hospitalists, Springfield OR 97477-8800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Heerema, Mark S can be contacted via phone (541) 222-6389.

Contact Information

Primary practice address
3377 Riverbend Dr Sacred Heart Hospitalists Springfield OR 97477-8800
Phone: (541) 222-6389
Fax: (541) 222-6385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD10413 Oregon

Profile Details

NPI number 1568433415
LBN Legal business name Heerema, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 24th, 2009 - about 17 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 1568433415 NPPES
Oregon MEDICAID 237974

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