Heiselman, Darell
Heiselman, Darell is an individual health care provider with primary practice located at 1761 Beall Ave , Wooster OH 44691-2342. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Heiselman, Darell can be contacted via phone (330) 263-8428.Contact Information
Primary practice address
1761 Beall Ave
Wooster OH 44691-2342
Phone: (330) 263-8428
Fax: (330) 263-8190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34002960 | Ohio |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 34002960 | Ohio |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 34002960 | Ohio |
Profile Details
| NPI number | 1043260359 |
|---|---|
| LBN Legal business name | Heiselman, Darell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Sep 5th, 2012 - about 12 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 | 1043260359 | NPPES |
| Ohio | MEDICAID | 0451005 |
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