Heinemann, Robert

Heinemann, Robert is an sole proprietor health care provider with primary practice located at 2401 Oak Dr , Longwood FL 32779-4745. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Heinemann, Robert can be contacted via phone (407) 595-5457.

Contact Information

Primary practice address
2401 Oak Dr Longwood FL 32779-4745
Fax: (407) 772-0378
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X CGC058989 Florida

Profile Details

NPI number 1336596386
LBN Legal business name Heinemann, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2016
Last updated May 19th, 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 1336596386 NPPES
Florida MEDICAID 691368779

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