Licke, Heather

Licke, Heather is an individual health care provider with primary practice located at 221 W 1St St , Saint Francis KS 67756-3540. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Licke, Heather can be contacted via phone (785) 332-2682.

Contact Information

Primary practice address
221 W 1St St Saint Francis KS 67756-3540
Phone: (785) 332-2682
Fax: (785) 332-2516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7525 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0435055 Kansas

Profile Details

NPI number 1093026429
LBN Legal business name Licke, Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated May 11th, 2022 - about 3 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 1093026429 NPPES
Kansas Other 1093026429 BCBS
Kansas MEDICAID 30004035620005 BCBS

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