Heitzmann, Elizabeth Louise

Heitzmann, Elizabeth Louise is an sole proprietor health care provider with primary practice located at 640 S Pier Dr , Sheboygan WI 53081-4986. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Heitzmann, Elizabeth Louise can be contacted via phone (920) 698-0019.

Contact Information

Primary practice address
640 S Pier Dr Sheboygan WI 53081-4986
Phone: (920) 698-0019
Fax: (920) 803-0337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counseling 103TC1900X 5630-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 1642-226 Wisconsin

Profile Details

NPI number 1902148059
LBN Legal business name Heitzmann, Elizabeth Louise
Credentials MAC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2013
Last updated Mar 5th, 2021 - about 5 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 1902148059 NPPES
Wisconsin MEDICAID 1000032020

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