Heileson, Jeffery Lee

Heileson, Jeffery Lee is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Heileson, Jeffery Lee can be contacted via phone (270) 956-0621.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD003650 Georgia

Profile Details

NPI number 1124354204
LBN Legal business name Heileson, Jeffery Lee
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated Sep 3rd, 2013 - about 11 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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