Heinicke, Steven Douglas

Heinicke, Steven Douglas is an sole proprietor health care provider with primary practice located at 5753 Hwy 85 N. #5887, Crestview FL 32536. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Heinicke, Steven Douglas can be contacted via phone (754) 971-8063.

Contact Information

Primary practice address
5753 Hwy 85 N. #5887 Crestview FL 32536
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15898 Florida

Profile Details

NPI number 1306978721
LBN Legal business name Heinicke, Steven Douglas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Sep 17th, 2021 - about 4 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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