Datema, Heidi Lynne
Datema, Heidi Lynne is an individual health care provider with primary practice located at 4499 Summit Forest Dr Ne , Rockford MI 49341-7842. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Datema, Heidi Lynne can be contacted via phone (847) 302-6995.Contact Information
Primary practice address
4499 Summit Forest Dr Ne
Rockford MI 49341-7842
Phone: (847) 302-6995
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 4703110270 | Michigan |
Profile Details
NPI number | 1982225538 |
---|---|
LBN Legal business name | Datema, Heidi Lynne |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2020 |
Last updated | May 5th, 2020 - 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.
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