Heide, Nathan Joseph

Heide, Nathan Joseph is an individual health care provider with primary practice located at 656 Charnelton Street Lower Level, Eugene OR 97401. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Heide, Nathan Joseph can be contacted via phone (541) 653-8692.

Contact Information

Primary practice address
656 Charnelton Street Lower Level Eugene OR 97401
Fax: (541) 653-8789
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 164157 Oregon
Other Service Providers / Acupuncturist 171100000X 21349 California
Other Service Providers / Acupuncturist 171100000X AC164157 Oregon

Profile Details

NPI number 1174955470
LBN Legal business name Heide, Nathan Joseph
Credentials DAOM LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2013
Last updated Nov 8th, 2016 - about 10 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 1174955470 NPPES
Oregon Other 154326 NCCAOM CERTIFICATE
Oregon Other 164157 NCCAOM CERTIFICATE
Oregon Other 21349 NCCAOM CERTIFICATE

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