Heinking, Beverly Ann

Heinking, Beverly Ann is an individual health care provider with primary practice located at 300 Pinewood Dr Sw , Live Oak FL 32064-4029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Heinking, Beverly Ann can be contacted via phone (386) 362-1014.

Contact Information

Primary practice address
300 Pinewood Dr Sw Live Oak FL 32064-4029
Fax: (386) 362-5076
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9F01 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS5866 Florida

Profile Details

NPI number 1073593737
LBN Legal business name Heinking, Beverly Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 14 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 1073593737 NPPES
Florida Other 80431 B/C

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