Heine, Robert Donald
Heine, Robert Donald is an sole proprietor health care provider with primary practice located at 2850 Lone Oak Rd Ste #5 , Paducah KY 42003-8043. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Heine, Robert Donald can be contacted via phone (270) 554-2026.Contact Information
Primary practice address
2850 Lone Oak Rd Ste #5
Paducah KY 42003-8043
Phone: (270) 554-2026
Fax: (270) 554-9164
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 5584 | Kentucky |
Dental Providers / Dentist | 122300000X | 5584 | Kentucky |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5584 | Kentucky |
Profile Details
NPI number | 1629156005 |
---|---|
LBN Legal business name | Heine, Robert Donald |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 1st, 2006 |
Last updated | Oct 14th, 2015 - about 9 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 | 1629156005 | NPPES |
Kentucky | MEDICAID | 60055845 | |
Kentucky | MEDICAID | 64055841 |
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