Heidrich, Debra Elaine

Heidrich, Debra Elaine is an sole proprietor health care provider with primary practice located at 10500 Montgomery Rd , Cincinnati OH 45242-4402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Oncology, which is considered as her primary health care specialty. Heidrich, Debra Elaine can be contacted via phone (513) 865-5167.

Contact Information

Primary practice address
10500 Montgomery Rd Cincinnati OH 45242-4402
Fax: (513) 865-5176
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X NS-09437 Ohio

Profile Details

NPI number 1811179591
LBN Legal business name Heidrich, Debra Elaine
Credentials MSN, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2007
Last updated Aug 20th, 2009 - about 15 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 1811179591 NPPES
Ohio MEDICAID 2952827

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