Heesch, David William

Heesch, David William is an individual health care provider with primary practice located at 1210 County Road E W , Arden Hills MN 55112-3783. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Heesch, David William can be contacted via phone (651) 523-8400.

Contact Information

Primary practice address
1210 County Road E W Arden Hills MN 55112-3783
Phone: (651) 523-8400
Fax: (651) 490-3709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1985 Minnesota

Profile Details

NPI number 1588636369
LBN Legal business name Heesch, David William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jan 27th, 2021 - about 4 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 1588636369 NPPES
Minnesota MEDICAID 078323400

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