Heine, Donald L

Heine, Donald L is an individual health care provider with primary practice located at 1600 W 21St St Suite A, Clovis NM 88101-4084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Heine, Donald L can be contacted via phone (575) 762-2121.

Contact Information

Primary practice address
1600 W 21St St Suite A Clovis NM 88101-4084
Fax: (575) 935-2121
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X J5347 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD2006-0020 New Mexico

Profile Details

NPI number 1285682542
LBN Legal business name Heine, Donald L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Feb 19th, 2009 - about 16 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 1285682542 NPPES
Texas MEDICAID 145439901

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