Hietschold, Chad Michael

Hietschold, Chad Michael is an individual health care provider with primary practice located at 7975 Lake Underhill Rd , Orlando FL 32822-8202. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Hietschold, Chad Michael can be contacted via phone (407) 303-6830.

Contact Information

Primary practice address
7975 Lake Underhill Rd Orlando FL 32822-8202
Phone: (407) 303-6830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X OS17435 Florida

Profile Details

NPI number 1528563137
LBN Legal business name Hietschold, Chad Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated May 31st, 2021 - about 5 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 1528563137 NPPES
Florida MEDICAID 1528563137

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