Konzelmann, Heather

Konzelmann, Heather is an individual health care provider with primary practice located at 1801 Windsor Rd , Champaign IL 61822-6217. 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. Konzelmann, Heather can be contacted via phone (217) 366-8130.

Contact Information

Primary practice address
1801 Windsor Rd Champaign IL 61822-6217
Phone: (217) 366-8130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103440 Florida

Profile Details

NPI number 1720066251
LBN Legal business name Konzelmann, Heather
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Dec 5th, 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 1720066251 NPPES
Florida Other Q54584 RAILROAD MEDICARE

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