Heeringa, Brian D

Heeringa, Brian D is an individual health care provider with primary practice located at 880 Munson Ave Suite A, Traverse City MI 49686-3661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Heeringa, Brian D can be contacted via phone (231) 946-1488.

Contact Information

Primary practice address
880 Munson Ave Suite A Traverse City MI 49686-3661
Phone: (231) 946-1488
Fax: (231) 946-1489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X BH076613 Michigan

Profile Details

NPI number 1497789010
LBN Legal business name Heeringa, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 21st, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497789010 NPPES
Michigan MEDICAID 4759050
Michigan Other 020H310060

Popular Providers