Heilman, Judith

Heilman, Judith is an individual health care provider with primary practice located at 1705 W 25Th Ave Ste 102 , Gary IN 46404-3544. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Heilman, Judith can be contacted via phone (219) 884-2011.

Contact Information

Primary practice address
1705 W 25Th Ave Ste 102 Gary IN 46404-3544
Phone: (219) 884-2011
Fax: (219) 844-0211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000992A Indiana

Profile Details

NPI number 1255395737
LBN Legal business name Heilman, Judith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Oct 2nd, 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 1255395737 NPPES
Indiana MEDICAID 200451860

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