Heineke, William Fredrick

Heineke, William Fredrick is an individual health care provider with primary practice located at 311 S Gillette Ave Ste 204 , Gillette WY 82716-3709. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Heineke, William Fredrick can be contacted via phone (307) 299-2001.

Contact Information

Primary practice address
311 S Gillette Ave Ste 204 Gillette WY 82716-3709
Phone: (307) 299-2001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PSYCHOLOGIST 423 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X LMFT 53 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC 346 Wyoming
Behavioral Health & Social Service Providers / Clinical 103TC0700X LPC346 Wyoming
Behavioral Health & Social Service Providers / Clinical 103TC0700X LMFT53 Wyoming
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP423 Wyoming

Profile Details

NPI number 1083751416
LBN Legal business name Heineke, William Fredrick
Credentials ED. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083751416 NPPES
Wyoming MEDICAID 220179800
Wyoming MEDICAID 131573100

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