Heinen, Robert Delano

Heinen, Robert Delano is an individual health care provider with primary practice located at 700 Hoffmann Dr Bethesda Lutheran Homes And Services, Watertown WI 53094. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Heinen, Robert Delano can be contacted via phone (920) 261-3050.

Contact Information

Primary practice address
700 Hoffmann Dr Bethesda Lutheran Homes And Services Watertown WI 53094
Phone: (920) 261-3050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15267020 Wisconsin

Profile Details

NPI number 1861594251
LBN Legal business name Heinen, Robert Delano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1861594251 NPPES
Wisconsin MEDICAID 30992200

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