Heinsen, Charles Edward

Heinsen, Charles Edward is an individual health care provider with primary practice located at 129 E Pearl St , Winamac IN 46996-1310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Heinsen, Charles Edward can be contacted via phone (574) 205-5015.

Contact Information

Primary practice address
129 E Pearl St Winamac IN 46996-1310
Phone: (574) 205-5015
Fax: (574) 205-5014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01021497A Indiana

Profile Details

NPI number 1194768960
LBN Legal business name Heinsen, Charles Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 4th, 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 1194768960 NPPES
Indiana MEDICAID 200408280A
Indiana MEDICAID 200897290A
Indiana MEDICAID 100210550
Indiana MEDICAID 100210550A

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