Provider Demographics
NPI:1174746663
Name:RICHARD HELIGMAN DPM PC
Entity type:Organization
Organization Name:RICHARD HELIGMAN DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HELIGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-682-3444
Mailing Address - Street 1:7365 COLDSPRING LN
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4214
Mailing Address - Country:US
Mailing Address - Phone:248-788-5891
Mailing Address - Fax:248-682-3003
Practice Address - Street 1:7365 COLDSPRING LN
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4214
Practice Address - Country:US
Practice Address - Phone:248-788-5891
Practice Address - Fax:248-682-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRH000893213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4856312680OtherBLUE CROSS
MI0916820001Medicare NSC
MIDG1761Medicare PIN