Hetrick, Thomas Jon

Hetrick, Thomas Jon is an individual health care provider with primary practice located at 400 Wabash Ave , Akron OH 44307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hetrick, Thomas Jon can be contacted via phone (330) 344-1799.

Contact Information

Primary practice address
400 Wabash Ave Akron OH 44307
Phone: (330) 344-1799
Fax: (330) 253-8293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35041856 Ohio

Profile Details

NPI number 1841257003
LBN Legal business name Hetrick, Thomas Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1841257003 NPPES
Ohio MEDICAID 0564090

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