Anderson, Heather Nicole

Anderson, Heather Nicole is an individual health care provider with primary practice located at 700 Park Ave , Ironton OH 45638. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Anderson, Heather Nicole can be contacted via phone (740) 532-1613.

Contact Information

Primary practice address
700 Park Ave Ironton OH 45638
Fax: (740) 532-1715
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CDCA.169559 Ohio

Profile Details

NPI number 1710475900
LBN Legal business name Anderson, Heather Nicole
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2018
Last updated May 13th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710475900 NPPES
Ohio MEDICAID 0291228

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