Heitkamp, Jeffrey W.
Heitkamp, Jeffrey W. is an sole proprietor health care provider with primary practice located at 811 W Interstate 20 Unit G10 , Arlington TX 76017-5871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Heitkamp, Jeffrey W. can be contacted via phone (817) 274-4593.Contact Information
Primary practice address
811 W Interstate 20 Unit G10
Arlington TX 76017-5871
Phone: (817) 274-4593
Fax: (817) 274-4098
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | F4064 | Texas |
Profile Details
NPI number | 1821087636 |
---|---|
LBN Legal business name | Heitkamp, Jeffrey W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 14th, 2005 |
Last updated | Jan 20th, 2021 - about 3 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 | 1821087636 | NPPES |
Texas | Other | 314595 | CIGNA |
Texas | Other | 0610290 | CIGNA |
Texas | Other | 00FM69 | CIGNA |
Texas | Other | 80A470 | CIGNA |
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