Heyneman, Nicholas E.

Heyneman, Nicholas E. is an sole proprietor health care provider with primary practice located at 850 E Center St Suite A, Pocatello ID 83201-5737. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heyneman, Nicholas E. can be contacted via phone (208) 234-7740.

Contact Information

Primary practice address
850 E Center St Suite A Pocatello ID 83201-5737
Phone: (208) 234-7740
Fax: (208) 392-1541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-234 Idaho

Profile Details

NPI number 1043370372
LBN Legal business name Heyneman, Nicholas E.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Feb 3rd, 2014 - about 12 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 1043370372 NPPES
Idaho Other 000010017340 REGENCE BLUE SHIELD
Idaho Other N-2340 REGENCE BLUE SHIELD

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