Heidenreich, Rachel Sue

Heidenreich, Rachel Sue is an individual health care provider with primary practice located at 7505 Burlington Pike , Florence KY 41042-1513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Heidenreich, Rachel Sue can be contacted via phone (859) 363-2060.

Contact Information

Primary practice address
7505 Burlington Pike Florence KY 41042-1513
Phone: (859) 363-2060
Fax: (859) 647-3594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005308 Kentucky

Profile Details

NPI number 1194910174
LBN Legal business name Heidenreich, Rachel Sue
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Mar 29th, 2013 - about 13 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 1194910174 NPPES
Kentucky Other 11980796 CAQH
Kentucky MEDICAID 7100044870 CAQH

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