Driessen, Heather D

Driessen, Heather D is an individual health care provider with primary practice located at 1730 Saint Julian Pl , Columbia SC 29204-2410. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Driessen, Heather D can be contacted via phone (803) 256-6776.

Contact Information

Primary practice address
1730 Saint Julian Pl Columbia SC 29204-2410
Phone: (803) 256-6776
Fax: (803) 256-6778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 625 South Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X POD001173 Georgia

Profile Details

NPI number 1568602589
LBN Legal business name Driessen, Heather D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2009
Last updated Sep 9th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568602589 NPPES
Georgia MEDICAID 003112634B
Georgia MEDICAID 003112634C

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