Hetzel, Paul C

Hetzel, Paul C is an individual health care provider with primary practice located at 2150 Main St , Springfield MA 01104-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Hetzel, Paul C can be contacted via phone (413) 739-5676.

Contact Information

Primary practice address
2150 Main St Springfield MA 01104-3300
Phone: (413) 739-5676
Fax: (413) 739-2278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 39373 Massachusetts

Profile Details

NPI number 1194768424
LBN Legal business name Hetzel, Paul C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 17th, 2010 - about 16 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 1194768424 NPPES
Massachusetts Other N51714 BLUE CROSS BLUE SHIELD
Massachusetts Other 13044 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 2068443 BLUE CROSS BLUE SHIELD
Massachusetts Other 039373 BLUE CROSS BLUE SHIELD

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