Heisman, Michael Alan

Heisman, Michael Alan is an individual health care provider with primary practice located at 255 N White Rd Ste 200 , San Jose CA 95127-1966. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Heisman, Michael Alan can be contacted via phone (408) 605-8335.

Contact Information

Primary practice address
255 N White Rd Ste 200 San Jose CA 95127-1966
Phone: (408) 605-8335
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E02316 California

Profile Details

NPI number 1598760373
LBN Legal business name Heisman, Michael Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 30th, 2019 - about 5 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 1598760373 NPPES
California MEDICAID 000E23160

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