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
Phone: (626) 574-9745
Fax: (626) 574-8741
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962447961 | NPPES |
California | MEDICAID | ZZZ75817Z |
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