Miller, Heather Ann Petersohn
Miller, Heather Ann Petersohn is an individual health care provider with primary practice located at 6308 8Th Ave Suite 3000, Kenosha WI 53143-5031. She recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Miller, Heather Ann Petersohn can be contacted via phone (262) 656-3300.Contact Information
Primary practice address
6308 8Th Ave Suite 3000
Kenosha WI 53143-5031
Phone: (262) 656-3300
Fax: (262) 656-3265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 355-156 | Wisconsin |
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | 355-156 | Wisconsin |
| Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | 355-156 | Wisconsin |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 355-156 | Wisconsin |
Profile Details
| NPI number | 1780748269 |
|---|---|
| LBN Legal business name | Miller, Heather Ann Petersohn |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1780748269 | NPPES |
| Wisconsin | MEDICAID | 41140100 |
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