Maier, Heavin Bortz
Maier, Heavin Bortz is an individual health care provider with primary practice located at 412 E 30Th Ave , Spokane WA 99203-2556. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maier, Heavin Bortz can be contacted via phone (509) 448-7300.Contact Information
Primary practice address
412 E 30Th Ave
Spokane WA 99203-2556
Phone: (509) 448-7300
Fax: (509) 448-7382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100061 | Idaho |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2970AT | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3911 | Washington |
Profile Details
| NPI number | 1861478869 |
|---|---|
| LBN Legal business name | Maier, Heavin Bortz |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Sep 17th, 2021 - 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 | 1861478869 | NPPES |
| Washington | Other | 0191247 | LABOR AND INDUSTRY |
| Washington | MEDICAID | 2029569 | LABOR AND INDUSTRY |
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