Heller, Earl Joseph

Heller, Earl Joseph is an individual health care provider with primary practice located at 53880 Carmichael Dr , South Bend IN 46635-1567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Heller, Earl Joseph can be contacted via phone (574) 247-9441.

Contact Information

Primary practice address
53880 Carmichael Dr South Bend IN 46635-1567
Fax: (574) 247-9442
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01023798 Indiana

Profile Details

NPI number 1356456206
LBN Legal business name Heller, Earl Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Apr 9th, 2008 - about 16 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 1356456206 NPPES
Indiana MEDICAID 100350700A

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