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
Phone: (641) 522-7221
Fax: (641) 522-5816
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548341035 | NPPES |
Iowa | Other | 06059 | WELLMARK BLUE CROSS |
Iowa | MEDICAID | 0415489 | WELLMARK BLUE CROSS |
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