Heise, Jeffrey A.

Heise, Jeffrey A. is an individual health care provider with primary practice located at 801 N State St Ste 100 , Greenfield IN 46140-1270. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Heise, Jeffrey A. can be contacted via phone (317) 462-3255.

Contact Information

Primary practice address
801 N State St Ste 100 Greenfield IN 46140-1270
Phone: (317) 462-3255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01062448A Indiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 4301080253 Indiana

Profile Details

NPI number 1548272289
LBN Legal business name Heise, Jeffrey A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Oct 8th, 2010 - about 15 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 1548272289 NPPES
Indiana MEDICAID 200841490
Indiana MEDICAID 200941580A
Indiana Other 1114016987
Indiana Other 000000493483
Indiana Other 7612847

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