Heinzen, Joel C

Heinzen, Joel C is an individual health care provider with primary practice located at 12 S 8Th St , Yakima WA 98901-3020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Heinzen, Joel C can be contacted via phone (509) 454-4143.

Contact Information

Primary practice address
12 S 8Th St Yakima WA 98901-3020
Phone: (509) 454-4143
Fax: (509) 454-3651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00014515 Washington

Profile Details

NPI number 1174593214
LBN Legal business name Heinzen, Joel C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 11th, 2011 - about 14 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 1174593214 NPPES
Washington Other G8877276 PTAN
Washington MEDICAID 8290603 PTAN

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