Heineman, Brian J

Heineman, Brian J is an sole proprietor health care provider with primary practice located at 128 Jackson Street , Brooklyn IA 52211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Heineman, Brian J can be contacted via phone (641) 522-7221.

Contact Information

Primary practice address
128 Jackson Street Brooklyn IA 52211
Fax: (641) 522-5816
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 01662 Iowa

Profile Details

NPI number 1548341035
LBN Legal business name Heineman, Brian J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Nov 20th, 2009 - about 15 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 1548341035 NPPES
Iowa Other 06059 WELLMARK BLUE CROSS
Iowa MEDICAID 0415489 WELLMARK BLUE CROSS

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