Heeter, Marlea

Heeter, Marlea is an individual health care provider with primary practice located at 145 Pleasant Dr , Warren PA 16365-3371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Heeter, Marlea can be contacted via phone (814) 723-8023.

Contact Information

Primary practice address
145 Pleasant Dr Warren PA 16365-3371
Fax: (814) 723-8025
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA063105 Pennsylvania

Profile Details

NPI number 1104580117
LBN Legal business name Heeter, Marlea
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2021
Last updated Jul 13th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104580117 NPPES
Pennsylvania MEDICAID 1039807220001

Popular Providers