Heise, John George

Heise, John George is an individual health care provider with primary practice located at 900 E 3Rd St , Chattanooga TN 37403-2101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Heise, John George can be contacted via phone (423) 778-5437.

Contact Information

Primary practice address
900 E 3Rd St Chattanooga TN 37403-2101
Phone: (423) 778-5437
Fax: (423) 778-7507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD25694 Tennessee

Profile Details

NPI number 1962405787
LBN Legal business name Heise, John George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 15th, 2019 - about 6 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 1962405787 NPPES
Tennessee MEDICAID Q005887

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