Heberlein, Wolf E

Heberlein, Wolf E is an individual health care provider with primary practice located at 3800 E Johnson Ave Ste E, Jonesboro AR 72401-1931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Heberlein, Wolf E can be contacted via phone (870) 932-0399.

Contact Information

Primary practice address
3800 E Johnson Ave Ste E Jonesboro AR 72401-1931
Phone: (870) 932-0399
Fax: (870) 932-0499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E-5565 Arkansas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X E-5565 Arkansas

Profile Details

NPI number 1922121698
LBN Legal business name Heberlein, Wolf E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Oct 20th, 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 1922121698 NPPES
Arkansas Other P00622537 RAILROAD MEDICARE
Arkansas MEDICAID 168510001 RAILROAD MEDICARE

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