Heaney, Michael
Heaney, Michael is an individual health care provider with primary practice located at 8080 E Central Ave Ste 250, Wichita KS 67206-2361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Heaney, Michael can be contacted via phone (316) 686-7327.Contact Information
Primary practice address
8080 E Central Ave Ste 250
Wichita KS 67206-2361
Phone: (316) 686-7327
Fax: (316) 686-1557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036140498 | Illinois |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 04-24571 | Kansas |
Profile Details
| NPI number | 1407858012 |
|---|---|
| LBN Legal business name | Heaney, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jun 4th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407858012 | NPPES |
| Illinois | Other | 214881 | MULTISPECIALTY GROUP PTAN |
| Illinois | MEDICAID | 100164020B | MULTISPECIALTY GROUP PTAN |
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