Heesacker, Laura N
Heesacker, Laura N is an individual health care provider with primary practice located at 1656 Ross Ln , Ashland OR 97520-3429. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heesacker, Laura N can be contacted via phone (541) 631-1128.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4110 | Oregon |
Profile Details
| NPI number | 1205818580 |
|---|---|
| LBN Legal business name | Heesacker, Laura N |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Apr 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205818580 | NPPES |
| Oregon | MEDICAID | 500795190 | |
| Oregon | MEDICAID | 227698 |
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