Heiser, Michael Thomas

Heiser, Michael Thomas is an individual health care provider with primary practice located at 4655 N Port Washington Rd , Glendale WI 53212-1004. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Heiser, Michael Thomas can be contacted via phone (414) 332-7475.

Contact Information

Primary practice address
4655 N Port Washington Rd Glendale WI 53212-1004
Fax:
Website:

Health care specialties

Profile Details

NPI number 1689304958
LBN Legal business name Heiser, Michael Thomas
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2022
Last updated Jun 8th, 2023 - about 2 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 1689304958 NPPES
Wisconsin MEDICAID 1234560627

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