Heise, Vira C

Heise, Vira C is an individual health care provider with primary practice located at 560 W Mitchell St Suite 300, Petoskey MI 49770-2275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Heise, Vira C can be contacted via phone (231) 487-2460.

Contact Information

Primary practice address
560 W Mitchell St Suite 300 Petoskey MI 49770-2275
Fax: (231) 487-6596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301048799 Michigan

Profile Details

NPI number 1073581450
LBN Legal business name Heise, Vira C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073581450 NPPES
Michigan MEDICAID 104774510

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