Heidorn, Jessica

Heidorn, Jessica is an individual health care provider with primary practice located at 700 W Cleveland Ave , Belleville IL 62220-2496. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Heidorn, Jessica can be contacted via phone (618) 233-1608.

Contact Information

Primary practice address
700 W Cleveland Ave Belleville IL 62220-2496
Phone: (618) 233-1608
Fax: (618) 233-1751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 2018004949 Missouri

Profile Details

NPI number 1427532100
LBN Legal business name Heidorn, Jessica
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2018
Last updated Sep 19th, 2018 - about 6 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 1427532100 NPPES
Illinois MEDICAID 1467590166

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