Heikenen, Janice B

Heikenen, Janice B is an sole proprietor health care provider with primary practice located at 6287 Lagoon Lane Box 439, Mohawk MI 49950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Heikenen, Janice B can be contacted via phone (906) 289-4316.

Contact Information

Primary practice address
6287 Lagoon Lane Box 439 Mohawk MI 49950
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 32580 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 4301089369 Michigan

Profile Details

NPI number 1215037569
LBN Legal business name Heikenen, Janice B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Nov 15th, 2013 - 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 1215037569 NPPES
Michigan Other 700C610000 BCBS OF MI
Michigan MEDICAID 5345324 BCBS OF MI
Michigan MEDICAID 31957600 BCBS OF MI

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