Heisel, Amy Marie Elsa

Heisel, Amy Marie Elsa is an individual health care provider with primary practice located at 748 14Th Ave , Longview WA 98632-2315. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Heisel, Amy Marie Elsa can be contacted via phone (360) 200-5419.

Contact Information

Primary practice address
748 14Th Ave Longview WA 98632-2315
Phone: (360) 200-5419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1306390174
LBN Legal business name Heisel, Amy Marie Elsa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Aug 10th, 2016 - about 8 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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