Heitzkey, Kellie Marie
Heitzkey, Kellie Marie is an individual health care provider with primary practice located at 3431 N 13Th St , Sheboygan WI 53083-2938. 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. Heitzkey, Kellie Marie can be contacted via phone (920) 457-5046.Contact Information
Primary practice address
3431 N 13Th St
Sheboygan WI 53083-2938
Phone: (920) 457-5046
Fax: (920) 457-4753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2422-154 | Wisconsin |
Profile Details
| NPI number | 1326252370 |
|---|---|
| LBN Legal business name | Heitzkey, Kellie Marie |
| Credentials | MS-CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1326252370 | NPPES |
| Wisconsin | MEDICAID | 42560800 |
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