Heitman, Jeanette Myers

Heitman, Jeanette Myers is an individual health care provider with primary practice located at 510 College St , Lake Mills WI 53551-1411. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Heitman, Jeanette Myers can be contacted via phone (920) 648-2951.

Contact Information

Primary practice address
510 College St Lake Mills WI 53551-1411
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 556154 Wisconsin

Profile Details

NPI number 1033384763
LBN Legal business name Heitman, Jeanette Myers
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033384763 NPPES
Wisconsin MEDICAID 42651700

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