Heine, Marge

Heine, Marge is an individual health care provider with primary practice located at 2753 E Broadway Rd Suite 101-454, Mesa AZ 85204-1579. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as her primary health care specialty. Heine, Marge can be contacted via phone (480) 659-6964.

Contact Information

Primary practice address
2753 E Broadway Rd Suite 101-454 Mesa AZ 85204-1579
Phone: (480) 659-6964
Fax: (480) 659-6791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X

Profile Details

NPI number 1346273141
LBN Legal business name Heine, Marge
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Aug 18th, 2009 - about 17 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 1346273141 NPPES
Arizona MEDICAID 004052

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