Heine, Carol J

Heine, Carol J is an individual health care provider with primary practice located at 422 Poplar St , Terre Haute IN 47807-4209. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Heine, Carol J can be contacted via phone (812) 242-3700.

Contact Information

Primary practice address
422 Poplar St Terre Haute IN 47807-4209
Fax: (812) 234-3565
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001834A Indiana

Profile Details

NPI number 1215045919
LBN Legal business name Heine, Carol J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 18th, 2010 - about 14 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 1215045919 NPPES
Other 000000089606 ANTHEM
Other 410031551 ANTHEM
Other P00830676 ANTHEM

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