Heise, Michael

Heise, Michael is an individual health care provider with primary practice located at 1005 Health Center Dr Ste 103 , Mattoon IL 61938-4693. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Heise, Michael can be contacted via phone (217) 258-4051.

Contact Information

Primary practice address
1005 Health Center Dr Ste 103 Mattoon IL 61938-4693
Phone: (217) 258-4051
Fax: (217) 258-4063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004872 Illinois

Profile Details

NPI number 1740619840
LBN Legal business name Heise, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2013
Last updated Sep 24th, 2018 - about 7 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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