Heistein, Jonathan Barry
Heistein, Jonathan Barry is an sole proprietor health care provider with primary practice located at 800 8Th Ave , Fort Worth TX 76104-2619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Heistein, Jonathan Barry can be contacted via phone (817) 820-0000.Contact Information
Primary practice address
800 8Th Ave
Fort Worth TX 76104-2619
Phone: (817) 820-0000
Fax: (817) 820-0097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | L3330 | Texas |
Profile Details
| NPI number | 1972590404 |
|---|---|
| LBN Legal business name | Heistein, Jonathan Barry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1972590404 | NPPES |
| Texas | Other | 108590 | AMERIGROUP |
| Texas | Other | 7569341 | AMERIGROUP |
| Texas | Other | 0007JD | AMERIGROUP |
| Texas | Other | 158570718 | AMERIGROUP |
| Texas | Other | 865822 | AMERIGROUP |
| Texas | MEDICAID | 150089401 | AMERIGROUP |
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