Heersink, Juanita Titrud

Heersink, Juanita Titrud is an individual health care provider with primary practice located at 3113 Wesley Way Ste 2 , Dothan AL 36305-2004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Heersink, Juanita Titrud can be contacted via phone (334) 479-0007.

Contact Information

Primary practice address
3113 Wesley Way Ste 2 Dothan AL 36305-2004
Fax: (334) 479-0057
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32100 Alabama
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 32100 Alabama

Profile Details

NPI number 1659661874
LBN Legal business name Heersink, Juanita Titrud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2011
Last updated Jan 16th, 2024 - about 11 months 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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