Heineck, Bradley Allen

Heineck, Bradley Allen is an sole proprietor health care provider with primary practice located at 66 Shady Oak Ct , Winona MN 55987-6034. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Heineck, Bradley Allen can be contacted via phone (507) 454-0000.

Contact Information

Primary practice address
66 Shady Oak Ct Winona MN 55987-6034
Phone: (507) 454-0000
Fax: (507) 454-6724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6129 Minnesota

Profile Details

NPI number 1134378037
LBN Legal business name Heineck, Bradley Allen
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2008
Last updated Sep 16th, 2008 - 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 1134378037 NPPES
Minnesota Other 7B103HE BLUE CROSS BLUE SHIELD

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