Heckey, Robert P

Heckey, Robert P is an individual health care provider with primary practice located at 4700 Hoen Ave , Santa Rosa CA 95405. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Heckey, Robert P can be contacted via phone (707) 526-3360.

Contact Information

Primary practice address
4700 Hoen Ave Santa Rosa CA 95405
Phone: (707) 526-3360
Fax: (707) 526-0554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G30787 California

Profile Details

NPI number 1205879681
LBN Legal business name Heckey, Robert P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 29th, 2011 - about 14 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 1205879681 NPPES
California MEDICAID 00G307870

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