Heichel, Corey A

Heichel, Corey A is an individual health care provider with primary practice located at 795 Primera Blvd Ste 1001 , Lake Mary FL 32746-2191. 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 (386) 561-9967.

Contact Information

Primary practice address
795 Primera Blvd Ste 1001 Lake Mary FL 32746-2191
Phone: (386) 561-9967
Fax: (844) 815-1446
Website:
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Health care specialties

SpecialtyCodeLicense #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 Aug 8th, 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 1134319601 NPPES
South Carolina MEDICAID 1944PA

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