Heidrich, George

Heidrich, George is an individual health care provider with primary practice located at 5014 Piccadilly Dr , Madison WI 53714-2014. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Heidrich, George can be contacted via phone (608) 235-1766.

Contact Information

Primary practice address
5014 Piccadilly Dr Madison WI 53714-2014
Phone: (608) 235-1766
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 77912 Wisconsin

Profile Details

NPI number 1689628208
LBN Legal business name Heidrich, George
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 21st, 2022 - about 2 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 1689628208 NPPES
Wisconsin MEDICAID 398600

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