Heasman, Annette Jo
Heasman, Annette Jo is an individual health care provider with primary practice located at 4636 N 40Th St , Phoenix AZ 85018-3623. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Heasman, Annette Jo can be contacted via phone (602) 355-6668.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / School | 163WS0200X | RN017555 | Arizona |
Profile Details
NPI number | 1215050562 |
---|---|
LBN Legal business name | Heasman, Annette Jo |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 9th, 2007 |
Last updated | Jul 9th, 2007 - about 17 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 | 1215050562 | NPPES |
Arizona | MEDICAID | 568917 |
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