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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043260359 NPPES
Ohio MEDICAID 0451005

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