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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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