Doctor Name: | MR. STEVE HAROLD HEGSTROM |
NPI Number: | 1124154992 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.P.T.A. |
License Number: | 117642 |
Business Practice Address: | 10300 W 103rd St Suite 300 Overland Park, KS - 662142642 |
Business Phone Number: | 9139411910 |
Business Fax Number: | |
Mailing Address: | 5045 Outlook Rd, MISSION |
State: | KS |
Postal Code: | 662021842 |
Phone Number: | 9136774806 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 117642 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |