Heberlein, Mark S

Heberlein, Mark S is an individual health care provider with primary practice located at 238 Front St , Cashton WI 54619-2002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Heberlein, Mark S can be contacted via phone (608) 654-5100.

Contact Information

Primary practice address
238 Front St Cashton WI 54619-2002
Phone: (608) 654-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 36061 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36061 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36061 Wisconsin

Profile Details

NPI number 1891791067
LBN Legal business name Heberlein, Mark S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 10th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891791067 NPPES
Wisconsin MEDICAID 30064000

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