Heitz, Stacy

Heitz, Stacy is an individual health care provider with primary practice located at 1969 W Hart Rd , Beloit WI 53511-2230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Heitz, Stacy can be contacted via phone (608) 364-5011.

Contact Information

Primary practice address
1969 W Hart Rd Beloit WI 53511-2230
Phone: (608) 364-5011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4203-23 Wisconsin

Profile Details

NPI number 1073032264
LBN Legal business name Heitz, Stacy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2017
Last updated Jun 28th, 2022 - 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.

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