Heeley, Jennifer Michelle

Heeley, Jennifer Michelle is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Genetics And Genomic Med, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Heeley, Jennifer Michelle can be contacted via phone (314) 454-6093.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Genetics And Genomic Med Saint Louis MO 63110-1002
Phone: (314) 454-6093
Fax: (844) 965-9624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2012011143 Missouri
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 2012011143 Missouri

Profile Details

NPI number 1710116207
LBN Legal business name Heeley, Jennifer Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2009
Last updated Apr 25th, 2024 - about 2 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 1710116207 NPPES
Missouri MEDICAID 200021910

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