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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548272289 | NPPES |
Indiana | MEDICAID | 200841490 | |
Indiana | MEDICAID | 200941580A | |
Indiana | Other | 1114016987 | |
Indiana | Other | 000000493483 | |
Indiana | Other | 7612847 |
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