Heistad, Phillip Norman

Heistad, Phillip Norman is an sole proprietor health care provider with primary practice located at 1226 Lake St , White Lake WI 54491-9750. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Heistad, Phillip Norman can be contacted via phone (715) 882-8107.

Contact Information

Primary practice address
1226 Lake St White Lake WI 54491-9750
Phone: (715) 882-8107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 237700000X Wisconsin

Profile Details

NPI number 1134493067
LBN Legal business name Heistad, Phillip Norman
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2012
Last updated Feb 23rd, 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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