Heatley, Diane G
Heatley, Diane G is an individual health care provider with primary practice located at 3050 Bosshard Dr , Fitchburg WI 53711-5860. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as her primary health care specialty. Heatley, Diane G can be contacted via phone (608) 273-0375.Contact Information
Primary practice address
3050 Bosshard Dr
Fitchburg WI 53711-5860
Phone: (608) 273-0375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 29448-20 | Wisconsin |
Profile Details
| NPI number | 1396793444 |
|---|---|
| LBN Legal business name | Heatley, Diane G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | May 25th, 2021 - about 3 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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