Eckelberg, Heidi E

Eckelberg, Heidi E is an individual health care provider with primary practice located at 4536 22Nd Ave , Kenosha WI 53140-5917. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Eckelberg, Heidi E can be contacted via phone (262) 656-0044.

Contact Information

Primary practice address
4536 22Nd Ave Kenosha WI 53140-5917
Phone: (262) 656-0044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4184 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4184 Wisconsin

Profile Details

NPI number 1427367184
LBN Legal business name Eckelberg, Heidi E
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2010
Last updated Jun 27th, 2023 - about 2 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 1427367184 NPPES
Wisconsin MEDICAID 100012858

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