Wishart, Heather Ann
Wishart, Heather Ann is an individual health care provider with primary practice located at 1 Medical Center Drive , Lebanon NH 03756-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wishart, Heather Ann can be contacted via phone (603) 650-7232.Contact Information
Primary practice address
1 Medical Center Drive
Lebanon NH 03756-0001
Phone: (603) 650-7232
Fax: (603) 650-9478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 843 | New Hampshire |
Profile Details
| NPI number | 1104994680 |
|---|---|
| LBN Legal business name | Wishart, Heather Ann |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1104994680 | NPPES |
| Vermont | Other | 1006342 | MEDICAID |
| Vermont | MEDICAID | 30011685 | MEDICAID |
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