Doctor Name: | HEATHER N BEGEMANN |
NPI Number: | 1619216231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2010003093 |
Business Practice Address: | 1280 West 40 Hwy Odessa, MO - 64076 |
Business Phone Number: | 8166335774 |
Business Fax Number: | 8166335936 |
Mailing Address: | 1280 West 40 Hwy, ODESSA |
State: | MO |
Postal Code: | 64076 |
Phone Number: | 8166335774 |
Fax Number: | 8166335936 |
NPI Enumeration Date: | 02/01/2013 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 2010003093 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |