Heitkemper, Stephine A

Heitkemper, Stephine A is an individual health care provider with primary practice located at 200 Lilly Rd Ne Bldg 2, Olympia WA 98506-5427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Heitkemper, Stephine A can be contacted via phone (360) 754-9409.

Contact Information

Primary practice address
200 Lilly Rd Ne Bldg 2 Olympia WA 98506-5427
Fax: (360) 438-6760
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP30000835 Washington

Profile Details

NPI number 1770790990
LBN Legal business name Heitkemper, Stephine A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Apr 11th, 2011 - about 14 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 1770790990 NPPES
Washington MEDICAID 8603094

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