Heverly, David N

Heverly, David N is an individual health care provider with primary practice located at 725 S Webster Ave Suite 201, Green Bay WI 54301-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Heverly, David N can be contacted via phone (920) 430-7100.

Contact Information

Primary practice address
725 S Webster Ave Suite 201 Green Bay WI 54301-3500
Phone: (920) 430-7100
Fax: (920) 430-7114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 42235 Wisconsin

Profile Details

NPI number 1649205170
LBN Legal business name Heverly, David N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 20th, 2015 - about 9 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 1649205170 NPPES
Wisconsin MEDICAID 32837700
Wisconsin MEDICAID 33320100
Wisconsin Other 364608478002

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