Provider Demographics
NPI:1255339115
Name:HELBLE, EDWARD T (DO)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:T
Last Name:HELBLE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3955 PATIENT CARE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4271
Mailing Address - Country:US
Mailing Address - Phone:517-374-7600
Mailing Address - Fax:517-908-0886
Practice Address - Street 1:3960 PATIENT CARE DR STE 109
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4276
Practice Address - Country:US
Practice Address - Phone:517-853-5581
Practice Address - Fax:517-272-0974
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2018-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101006610207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1816626Medicaid
MIOC36345008Medicare ID - Type Unspecified
MI1816626Medicaid