Heidish, Michael S

Heidish, Michael S is an sole proprietor health care provider with primary practice located at 3384 State Route 752 , Ashville OH 43103-9685. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Heidish, Michael S can be contacted via phone (740) 983-6171.

Contact Information

Primary practice address
3384 State Route 752 Ashville OH 43103-9685
Fax: (740) 983-6587
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4562/T1305 Ohio

Profile Details

NPI number 1306843727
LBN Legal business name Heidish, Michael S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Oct 9th, 2012 - about 12 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 1306843727 NPPES
Ohio MEDICAID 2801749

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