Heinisch, Thomas J

Heinisch, Thomas J is an individual health care provider with primary practice located at 107 Montrose Dr , Port Jefferson Station NY 11776-1319. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Heinisch, Thomas J can be contacted via phone (631) 487-0083.

Contact Information

Primary practice address
107 Montrose Dr Port Jefferson Station NY 11776-1319
Phone: (631) 487-0083
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017088 New York

Profile Details

NPI number 1386071587
LBN Legal business name Heinisch, Thomas J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Oct 2nd, 2013 - about 11 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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