Heideman, Rosemary A
Heideman, Rosemary A is an individual health care provider with primary practice located at 4801 Expo Dr , Manitowoc WI 54220-9341. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Heideman, Rosemary A can be contacted via phone (920) 684-4429.Contact Information
Primary practice address
4801 Expo Dr
Manitowoc WI 54220-9341
Phone: (920) 684-4429
Fax: (920) 684-6892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1740275817 |
|---|---|
| LBN Legal business name | Heideman, Rosemary A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Aug 22nd, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740275817 | NPPES |
| Wisconsin | MEDICAID | 38450200 |
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