Individual
THOMAS HEGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2906
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA0017
DEPT OF HEALTH, HEALTH PROFESSIONAL LICENSING ADMINISTRATION
DC
Enumeration date
01/26/2007
Last updated
05/27/2016
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