Heinz, Kerry A

Heinz, Kerry A is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Heinz, Kerry A can be contacted via phone (309) 655-6724.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637-0001
Phone: (309) 655-6724
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178-004532 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.007648 Illinois

Profile Details

NPI number 1245393677
LBN Legal business name Heinz, Kerry A
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated May 29th, 2019 - about 5 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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