Lake, Heather M
Lake, Heather M is an individual health care provider with primary practice located at 285 E State St Suite 620, Columbus OH 43215-4354. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Lake, Heather M can be contacted via phone (614) 566-9380.Contact Information
Primary practice address
285 E State St Suite 620
Columbus OH 43215-4354
Phone: (614) 566-9380
Fax: (614) 566-8175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 34009625 | Ohio |
Profile Details
| NPI number | 1295857043 |
|---|---|
| LBN Legal business name | Lake, Heather M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jan 5th, 2022 - about 3 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 | 1295857043 | NPPES |
| Ohio | MEDICAID | 2966714 |
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