Hetrick, Michael A
Hetrick, Michael A is an individual health care provider with primary practice located at 612 Sunset Dr , La Grande OR 97850-1248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hetrick, Michael A can be contacted via phone (541) 663-3150.Contact Information
Primary practice address
612 Sunset Dr
La Grande OR 97850-1248
Phone: (541) 663-3150
Fax: (541) 975-5111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD13074 | Oregon |
Profile Details
| NPI number | 1114958931 |
|---|---|
| LBN Legal business name | Hetrick, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Dec 18th, 2007 - about 18 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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