Heath, Peter J.

Heath, Peter J. is an individual health care provider with primary practice located at 270 E Day Rd Suite 260, Mishawaka IN 46545-3444. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Heath, Peter J. can be contacted via phone (574) 272-8823.

Contact Information

Primary practice address
270 E Day Rd Suite 260 Mishawaka IN 46545-3444
Phone: (574) 272-8823
Fax: (574) 277-1837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9545 Maryland
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2503 New Hampshire
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 12434R Louisiana

Profile Details

NPI number 1396738746
LBN Legal business name Heath, Peter J.
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Sep 29th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396738746 NPPES
Indiana Other 01063978A IN MEDICAL LICENSE
Indiana MEDICAID 200870900 IN MEDICAL LICENSE
Indiana Other 2503 IN MEDICAL LICENSE
Indiana Other 9545 IN MEDICAL LICENSE
Indiana Other 12011044A IN MEDICAL LICENSE
Indiana Other 12434R IN MEDICAL LICENSE

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