Heibel, Carissa Leigh

Heibel, Carissa Leigh is an individual health care provider with primary practice located at 301 Hawthorne Ln , Charlotte NC 28204. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Heibel, Carissa Leigh can be contacted via phone (704) 316-5100.

Contact Information

Primary practice address
301 Hawthorne Ln Charlotte NC 28204
Phone: (704) 316-5100
Fax: (704) 316-5101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2128 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-04977 North Carolina

Profile Details

NPI number 1689836306
LBN Legal business name Heibel, Carissa Leigh
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Oct 26th, 2020 - about 6 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 1689836306 NPPES
North Carolina Other 187725 BCBS NC
North Carolina MEDICAID 1529055 BCBS NC
North Carolina Other P01423324 BCBS NC
North Carolina MEDICAID 1689836306 BCBS NC
North Carolina Other P01120793 BCBS NC

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