Kistka, Heather
Kistka, Heather is an individual health care provider with primary practice located at 500 Arcade Ave Ste 200 , Elkhart IN 46514-2485. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Kistka, Heather can be contacted via phone (574) 294-8404.Contact Information
Primary practice address
500 Arcade Ave Ste 200
Elkhart IN 46514-2485
Phone: (574) 294-8404
Fax: (574) 523-1642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 01076916A | Indiana |
Profile Details
| NPI number | 1144464850 |
|---|---|
| LBN Legal business name | Kistka, Heather |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2009 |
| Last updated | Apr 28th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144464850 | NPPES |
| Indiana | MEDICAID | 201365900 |
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