Heise, Forrest John
Heise, Forrest John is an individual health care provider with primary practice located at 2930 Division St , Burlington IA 52601-1616. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Heise, Forrest John can be contacted via phone (319) 754-5751.Contact Information
Primary practice address
2930 Division St
Burlington IA 52601-1616
Phone: (319) 754-5751
Fax: (319) 758-6479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 04391 | Iowa |
Profile Details
| NPI number | 1235104910 |
|---|---|
| LBN Legal business name | Heise, Forrest John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235104910 | NPPES |
| Iowa | MEDICAID | 0024927 |
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