Heinkel, Angela Marie

Heinkel, Angela Marie is an individual health care provider with primary practice located at 2601 Fieldcrest Dr , Kaukauna WI 54130-4523. She 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 her primary health care specialty. Heinkel, Angela Marie can be contacted via phone (920) 462-6100.

Contact Information

Primary practice address
2601 Fieldcrest Dr Kaukauna WI 54130-4523
Phone: (920) 462-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4210 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4210 Wisconsin

Profile Details

NPI number 1518486919
LBN Legal business name Heinkel, Angela Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2017
Last updated Nov 3rd, 2023 - about 3 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 1518486919 NPPES
Wisconsin MEDICAID 100071560

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