Musgrave, Heidi L
Musgrave, Heidi L is an individual health care provider with primary practice located at 2250 Lake Ave Ste 110 , Fort Wayne IN 46805-5352. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Musgrave, Heidi L can be contacted via phone (260) 409-2099.Contact Information
Primary practice address
2250 Lake Ave Ste 110
Fort Wayne IN 46805-5352
Phone: (260) 409-2099
Fax: (260) 436-2135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041626A | Indiana |
Profile Details
| NPI number | 1639161532 |
|---|---|
| LBN Legal business name | Musgrave, Heidi L |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jan 17th, 2023 - about last year |
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 | 1639161532 | NPPES |
| Indiana | MEDICAID | 200303330 |
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