Heinzen, Susan M
Heinzen, Susan M is an individual health care provider with primary practice located at 150 S Tulsa Ave , Russellville AR 72801-4600. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Heinzen, Susan M can be contacted via phone (479) 968-2100.Contact Information
Primary practice address
150 S Tulsa Ave
Russellville AR 72801-4600
Phone: (479) 968-2100
Fax: (479) 968-2107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 54285 | California |
| Dental Providers / General Practice | 1223G0001X | 4149 | Arkansas |
Profile Details
| NPI number | 1871690727 |
|---|---|
| LBN Legal business name | Heinzen, Susan M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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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