Heiser, Jacqueline L.

Heiser, Jacqueline L. is an individual health care provider with primary practice located at 265 W Union St Ste A , Athens OH 45701-2313. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Heiser, Jacqueline L. can be contacted via phone (740) 594-2456.

Contact Information

Primary practice address
265 W Union St Ste A Athens OH 45701-2313
Phone: (740) 594-2456
Fax: (740) 594-9630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34-007066 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1914 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.007066 Ohio

Profile Details

NPI number 1962459941
LBN Legal business name Heiser, Jacqueline L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jun 1st, 2015 - about 9 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 1962459941 NPPES
Ohio Other 310917085094 CARESOURCE MEDICAID
Ohio Other 000000181876 CARESOURCE MEDICAID
Ohio Other 080160257 CARESOURCE MEDICAID
Ohio Other 2133702 CARESOURCE MEDICAID
Ohio MEDICAID 2133702 CARESOURCE MEDICAID
Ohio Other 000000196979 CARESOURCE MEDICAID
Ohio MEDICAID 5600439000 CARESOURCE MEDICAID

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