Heisler, Jason J.
Heisler, Jason J. is an individual health care provider with primary practice located at 5050 N Clinton St , Fort Wayne IN 46825-5886. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Heisler, Jason J. can be contacted via phone (260) 484-8551.Contact Information
Primary practice address
5050 N Clinton St
Fort Wayne IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 02003175A | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101015382 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 02003175A | Indiana |
Profile Details
| NPI number | 1255453544 |
|---|---|
| LBN Legal business name | Heisler, Jason J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Oct 22nd, 2018 - about 6 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 | 1255453544 | NPPES |
| Indiana | Other | 02003175A | INDIANA LICENSE |
| Indiana | MEDICAID | 200882680 | INDIANA LICENSE |
| Indiana | Other | P00651304 | INDIANA LICENSE |
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