Heine, David Wayne
Heine, David Wayne is an individual health care provider with primary practice located at 3025 Shrine Rd Suite 290, Brunswick GA 31520-4744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Heine, David Wayne can be contacted via phone (912) 466-7470.Contact Information
Primary practice address
3025 Shrine Rd Suite 290
Brunswick GA 31520-4744
Phone: (912) 466-7470
Fax: (912) 466-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30616 | Georgia |
Profile Details
| NPI number | 1750397899 |
|---|---|
| LBN Legal business name | Heine, David Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Mar 23rd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750397899 | NPPES |
| Georgia | MEDICAID | 00371709D | |
| Georgia | Other | 110182527 |
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