Heckert, Richard R

Heckert, Richard R is an individual health care provider with primary practice located at 2253 W Mason St Ste 100 , Green Bay WI 54303-4706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Heckert, Richard R can be contacted via phone (920) 327-7000.

Contact Information

Primary practice address
2253 W Mason St Ste 100 Green Bay WI 54303-4706
Fax: (920) 327-7005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 32665 Wisconsin

Profile Details

NPI number 1467498915
LBN Legal business name Heckert, Richard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 23rd, 2022 - about 4 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 1467498915 NPPES
Wisconsin MEDICAID 31753100
Wisconsin MEDICAID 104289893
Wisconsin Other 180034985

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