Heise, Rose Mary

Heise, Rose Mary is an sole proprietor health care provider with primary practice located at 1500 W Michigan Ave , Jackson MI 49202-4025. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Heise, Rose Mary can be contacted via phone (517) 740-1351.

Contact Information

Primary practice address
1500 W Michigan Ave Jackson MI 49202-4025
Phone: (517) 740-1351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1-00244 Michigan

Profile Details

NPI number 1801927066
LBN Legal business name Heise, Rose Mary
Credentials MA, CAADC, LPN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Mar 27th, 2015 - about 9 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 1801927066 NPPES
Michigan Other 750910682 BCBSM

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