Heffelbower, Mary Ann

Heffelbower, Mary Ann is an individual health care provider with primary practice located at 8170 33Rd Ave S # Ms 21106W , Bloomington MN 55425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Heffelbower, Mary Ann can be contacted via phone (952) 883-6116.

Contact Information

Primary practice address
8170 33Rd Ave S # Ms 21106W Bloomington MN 55425
Phone: (952) 883-6116
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9671 Minnesota

Profile Details

NPI number 1164483194
LBN Legal business name Heffelbower, Mary Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 25th, 2019 - about 5 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 1164483194 NPPES
Minnesota MEDICAID 395407200

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