Heitzman, William W

Heitzman, William W is an individual health care provider with primary practice located at 415 1St Ave E , Shakopee MN 55379-1439. He recently has only one registered license in Dental Providers / Dental Therapist, which is considered as his primary health care specialty. Heitzman, William W can be contacted via phone (952) 403-5149.

Contact Information

Primary practice address
415 1St Ave E Shakopee MN 55379-1439
Fax: (952) 403-5969
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X DT18 Minnesota

Profile Details

NPI number 1134564552
LBN Legal business name Heitzman, William W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2013
Last updated Jul 21st, 2022 - about 2 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.

Request for update

Popular Providers