Heitman, Jeanette Myers
Heitman, Jeanette Myers is an individual health care provider with primary practice located at 510 College St , Lake Mills WI 53551-1411. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Heitman, Jeanette Myers can be contacted via phone (920) 648-2951.Contact Information
Primary practice address
510 College St
Lake Mills WI 53551-1411
Phone: (920) 648-2951
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 556154 | Wisconsin |
Profile Details
| NPI number | 1033384763 |
|---|---|
| LBN Legal business name | Heitman, Jeanette Myers |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Apr 23rd, 2008 - about 18 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 | 1033384763 | NPPES |
| Wisconsin | MEDICAID | 42651700 |
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