Back, Heidi
Back, Heidi is an individual health care provider with primary practice located at 4000 E Main St , Columbus OH 43213-2950. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Back, Heidi can be contacted via phone (614) 334-6903.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1790366524 |
|---|---|
| LBN Legal business name | Back, Heidi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2021 |
| Last updated | Apr 14th, 2021 - about 4 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 | 1790366524 | NPPES |
| Ohio | MEDICAID | 0315095 |
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