Matthew Willman Hettle in Flint - Pain Medicine

Matthew Willman Hettle - NPI 1134100415

Matthew Willman Hettle is a Pain Medicine in Flint, Michigan. Matthew Willman Hettle practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Matthew Willman Hettle is 1134100415. The last update date is 2013-09-19.

Matthew Willman Hettle's current location address is 4466 W Bristol Rd, Flint, Michigan. You can contact this provider via phone number 8107331200 and fax number 8107330688. The mailing address for Matthew Willman Hettle is 4466 W Bristol Rd, Flint, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Willman Hettle
Address 4466 W Bristol Rd, Flint, Michigan
Phone Number 8107331200
Fax Number 8107330688
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1134100415
Provider Enumeration Date 2005-11-14
Last Updated Date 2013-09-19

Provider Mailing Address Detail

Address 4466 W Bristol Rd
City Flint
State Michigan (MI)
Post Code 485073170
Phone Number 8107331200
Fax Number 8107330688

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 2081P2900X
Licence No 4301065543
Definition:
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0B51156 MI GROUP BCBS
0N45090 GROUP MEDICARE
4303713 MI --
1215930490 TYPE 2 NPI
CB0923 GROUP RAILROAD

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FAQs about Matthew Willman Hettle

What is the Matthew Willman Hettle's unique identification number?

The Matthew Willman Hettle has been assigned the NPI (National Provider Identifier) Number 1134100415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Matthew Willman Hettle's facilities are situated?

The facilities of Matthew Willman Hettle are physically located at the following address: 4466 W Bristol Rd, Flint, MI, 485073170.

What is the Matthew Willman Hettle's area of specialization and corresponding taxonomy classification?

The Matthew Willman Hettle's specialty field is Pain Medicine, and it falls under the taxonomy code 2081P2900X, which categorizes healthcare providers based on their specialties.

On what date did Matthew Willman Hettle receive its 1134100415 assignment from the Centers for Medicare & Medicaid Services?

The Matthew Willman Hettle was assigned its 1134100415 on 2005-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Matthew Willman Hettle most recently updated or revised?

The details related to Matthew Willman Hettle, including its address, specialty, and other relevant information, were last updated or revised on 2013-09-19.

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