Kissel, Heather Deann
Kissel, Heather Deann is an individual health care provider with primary practice located at 1717 S J St , Tacoma WA 98405-4933. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kissel, Heather Deann can be contacted via phone (253) 426-6341.Contact Information
Primary practice address
1717 S J St
Tacoma WA 98405-4933
Phone: (253) 426-6341
Fax: (253) 426-6344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OP61209052 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 009222 | Arizona |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OP61209052 | Washington |
Profile Details
| NPI number | 1801389556 |
|---|---|
| LBN Legal business name | Kissel, Heather Deann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2018 |
| Last updated | Dec 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801389556 | NPPES |
| Washington | MEDICAID | 2191020 |
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