Heidi Jo Young Hetland in Durham - Pediatrics

Heidi Jo Young Hetland - NPI 1467584698

Heidi Jo Young Hetland is a Pediatrics in Durham, North Carolina. Heidi Jo Young Hetland practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Heidi Jo Young Hetland is 1467584698. The last update date is 2011-11-30.

Heidi Jo Young Hetland's current location address is 1214 Goldenview Ct, Durham, North Carolina. You can contact this provider via phone number 9196982970. The mailing address for Heidi Jo Young Hetland is 1214 Goldenview Ct, Durham, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Heidi Jo Young Hetland
Address 1214 Goldenview Ct, Durham, North Carolina
Phone Number 9196982970
Fax Number
Sole Proprietor Y
Credentials PT, DPT, M

NPI Number Detail

NPI Number 1467584698
Provider Enumeration Date 2007-03-12
Last Updated Date 2011-11-30

Provider Mailing Address Detail

Address 1214 Goldenview Ct
City Durham
State North Carolina (NC)
Post Code 277138207
Phone Number 9196982970
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 5172
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89776 NC BCBS OF NC

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FAQs about Heidi Jo Young Hetland

What is the unique identification code assigned to Heidi Jo Young Hetland by the Centers for Medicare & Medicaid Services?

The Heidi Jo Young Hetland has been issued the NPI (National Provider Identifier) 1467584698. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Heidi Jo Young Hetland's facilities are situated?

The facilities of Heidi Jo Young Hetland are physically located at the following address: 1214 Goldenview Ct, Durham, NC, 277138207.

What is Heidi Jo Young Hetland's specialized field of practice, and what is the corresponding taxonomy classification code?

The Heidi Jo Young Hetland's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 2251P0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1467584698 to Heidi Jo Young Hetland?

The Centers for Medicare & Medicaid Services assigned the 1467584698 to Heidi Jo Young Hetland on 2007-03-12.

As of what date was the information regarding Heidi Jo Young Hetland, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Heidi Jo Young Hetland, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-30.

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