Heichel, Corey A
Heichel, Corey A is an individual health care provider with primary practice located at 945 82Nd Pkwy , Myrtle Beach SC 29572-4612. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Heichel, Corey A can be contacted via phone (843) 497-5929.Contact Information
Primary practice address
945 82Nd Pkwy
Myrtle Beach SC 29572-4612
Phone: (843) 497-5929
Fax: (877) 316-4124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2134 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2134 | South Carolina |
Profile Details
| NPI number | 1134319601 |
|---|---|
| LBN Legal business name | Heichel, Corey A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Nov 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134319601 | NPPES |
| South Carolina | MEDICAID | 1944PA |
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