Heston, William Kenneth

Heston, William Kenneth is an individual health care provider with primary practice located at 1316 N 10Th St , Spearfish SD 57783-1530. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Heston, William Kenneth can be contacted via phone (605) 642-3113.

Contact Information

Primary practice address
1316 N 10Th St Spearfish SD 57783-1530
Phone: (605) 642-3113
Fax: (605) 642-3117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CR000179 South Dakota

Profile Details

NPI number 1518999770
LBN Legal business name Heston, William Kenneth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - 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 1518999770 NPPES
Other 430058457 RR MEDICARE
Other 438620 RR MEDICARE
Other 110048300 RR MEDICARE
Other 9212491 RR MEDICARE
Other 0006915 RR MEDICARE
MEDICAID 5750107 RR MEDICARE

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