Heller, Carla Marie

Heller, Carla Marie is an individual health care provider with primary practice located at 521 E Sioux Ave , Pierre SD 57501-3142. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Heller, Carla Marie can be contacted via phone (605) 945-5560.

Contact Information

Primary practice address
521 E Sioux Ave Pierre SD 57501-3142
Phone: (605) 945-5560
Fax: (605) 224-0369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0392 South Dakota

Profile Details

NPI number 1083654040
LBN Legal business name Heller, Carla Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083654040 NPPES
South Dakota Other 2294 DAKOTACARE
South Dakota Other 4994958 DAKOTACARE
South Dakota Other 32164 DAKOTACARE
South Dakota MEDICAID 6825832 DAKOTACARE

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