Heinen, Gregory Thomas

Heinen, Gregory Thomas is an individual health care provider with primary practice located at 301W Huntington Dr 617 , Arcadia CA 91007-1518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Heinen, Gregory Thomas can be contacted via phone (626) 574-9745.

Contact Information

Primary practice address
301W Huntington Dr 617 Arcadia CA 91007-1518
Fax: (626) 574-8741
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G081061 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G81061 California

Profile Details

NPI number 1962447961
LBN Legal business name Heinen, Gregory Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jun 27th, 2024 - about 5 months 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 1962447961 NPPES
California MEDICAID ZZZ75817Z

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