Heineman, Frederick William

Heineman, Frederick William is an individual health care provider with primary practice located at 17876 Saint Clair Ave , Cleveland OH 44110-2602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Heineman, Frederick William can be contacted via phone (800) 707-8922.

Contact Information

Primary practice address
17876 Saint Clair Ave Cleveland OH 44110-2602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 35.127503 Ohio

Profile Details

NPI number 1568455954
LBN Legal business name Heineman, Frederick William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jan 26th, 2016 - about 8 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 1568455954 NPPES
Ohio MEDICAID 0154453
Ohio MEDICAID 232980099
Ohio Other 041017

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