Haegele, Heather L
Haegele, Heather L is an individual health care provider with primary practice located at 3619 Richardson Square Dr Suite 170, Arnold MO 63010-6022. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Haegele, Heather L can be contacted via phone (636) 717-6776.Contact Information
Primary practice address
3619 Richardson Square Dr Suite 170
Arnold MO 63010-6022
Phone: (636) 717-6776
Fax: (314) 525-4055
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 142540 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 142540 | Missouri |
Profile Details
NPI number | 1962595710 |
---|---|
LBN Legal business name | Haegele, Heather L |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2006 |
Last updated | Mar 14th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962595710 | NPPES |
Missouri | MEDICAID | 428734008 |
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