Heinzen, James S

Heinzen, James S is an individual health care provider with primary practice located at 225 Memorial Dr , Berlin WI 54923-1243. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Heinzen, James S can be contacted via phone (920) 361-5525.

Contact Information

Primary practice address
225 Memorial Dr Berlin WI 54923-1243
Phone: (920) 361-5525
Fax: (920) 361-5925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39061-020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39061 Wisconsin

Profile Details

NPI number 1013908409
LBN Legal business name Heinzen, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated May 17th, 2022 - about 2 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 1013908409 NPPES
Wisconsin Other 60729 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 32402700 DEAN HEALTH INSURANCE

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