Heiser, Amy M.
Heiser, Amy M. is an sole proprietor health care provider with primary practice located at 348 E Le Capitaine Cir , Green Bay WI 54302-5158. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Heiser, Amy M. can be contacted via phone (920) 819-2555.Contact Information
Primary practice address
348 E Le Capitaine Cir
Green Bay WI 54302-5158
Phone: (920) 819-2555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 3701-46 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6148-26 | Wisconsin |
Profile Details
| NPI number | 1225202500 |
|---|---|
| LBN Legal business name | Heiser, Amy M. |
| Credentials | OTR, MT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2008 |
| Last updated | Jun 16th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225202500 | NPPES |
| Wisconsin | MEDICAID | 41054900 |
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