Heisler, Kenneth A

Heisler, Kenneth A is an individual health care provider with primary practice located at 78 Main Street , Falmouth MA 02540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Heisler, Kenneth A can be contacted via phone (508) 548-8317.

Contact Information

Primary practice address
78 Main Street Falmouth MA 02540
Fax: (508) 548-7407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 45802 Massachusetts

Profile Details

NPI number 1427100460
LBN Legal business name Heisler, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jun 2nd, 2016 - about 8 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 1427100460 NPPES
Massachusetts MEDICAID 0103004
Massachusetts Other L07176

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