Hiemer, Jonathan W

Hiemer, Jonathan W is an sole proprietor health care provider with primary practice located at 6604 Bardstown Rd Suite: B, Louisville KY 40291-3045. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Hiemer, Jonathan W can be contacted via phone (502) 239-6850.

Contact Information

Primary practice address
6604 Bardstown Rd Suite: B Louisville KY 40291-3045
Phone: (502) 239-6850
Fax: (502) 239-3425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6188 Kentucky
Dental Providers / General Practice 1223G0001X 6188 Kentucky

Profile Details

NPI number 1487647863
LBN Legal business name Hiemer, Jonathan W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Aug 31st, 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 1487647863 NPPES
Kentucky Other Y292 BCBS PROVIDER NUMBER
Kentucky MEDICAID 60061884 BCBS PROVIDER NUMBER
Kentucky Other 469970 BCBS PROVIDER NUMBER
Kentucky Other 6342 BCBS PROVIDER NUMBER

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