Heisler, Kenneth A
Heisler, Kenneth A is an individual health care provider with primary practice located at 78 Main Street , Falmouth MA 02540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Heisler, Kenneth A can be contacted via phone (508) 548-8317.Contact Information
Primary practice address
78 Main Street
Falmouth MA 02540
Phone: (508) 548-8317
Fax: (508) 548-7407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 45802 | Massachusetts |
Profile Details
| NPI number | 1427100460 |
|---|---|
| LBN Legal business name | Heisler, Kenneth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jun 2nd, 2016 - about 10 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 | 1427100460 | NPPES |
| Massachusetts | MEDICAID | 0103004 | |
| Massachusetts | Other | L07176 |
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