Arevalo, Heinery
Arevalo, Heinery is an sole proprietor health care provider with primary practice located at 6100 Washington Ave Ste F2 , Mount Pleasant WI 53406-4000. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Arevalo, Heinery can be contacted via phone (262) 999-9998.Contact Information
Primary practice address
6100 Washington Ave Ste F2
Mount Pleasant WI 53406-4000
Phone: (262) 999-9998
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019.033683 | Illinois |
| Dental Providers / General Practice | 1223G0001X | 6001069-15 | Wisconsin |
Profile Details
| NPI number | 1295465565 |
|---|---|
| LBN Legal business name | Arevalo, Heinery |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2022 |
| Last updated | Dec 17th, 2023 - about 2 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 | 1295465565 | NPPES |
| Wisconsin | MEDICAID | 100216253 |
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