Dentino, Heather L
Dentino, Heather L is an individual health care provider with primary practice located at 6708 N Knoxville Ave , Peoria IL 61614-2862. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Dentino, Heather L can be contacted via phone (309) 692-6838.Contact Information
Primary practice address
6708 N Knoxville Ave
Peoria IL 61614-2862
Phone: (309) 692-6838
Fax: (309) 691-6858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 209026831 | Illinois |
Profile Details
| NPI number | 1831898014 |
|---|---|
| LBN Legal business name | Dentino, Heather L |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2023 |
| Last updated | Feb 27th, 2023 - about last year |
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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