Heisel, John Stephen

Heisel, John Stephen is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Heisel, John Stephen can be contacted via phone (617) 421-1157.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1157
Fax: (617) 421-1063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 36950 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36950 Massachusetts

Profile Details

NPI number 1679511521
LBN Legal business name Heisel, John Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 30th, 2019 - about 5 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 1679511521 NPPES
Massachusetts Other 0037411 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other 036950 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other B07139 NEIGHBORHOOD HEALTH PLAN

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