Rose Mary Heise in Jackson - Addiction (substance Use Disorder)
Rose Mary Heise - NPI 1801927066
Rose Mary Heise is a Addiction (substance Use Disorder) in Jackson, Michigan. Rose Mary Heise practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Rose Mary Heise is 1801927066. The last update date is 2015-03-27.
Rose Mary Heise's current location address is 1500 W Michigan Ave, Jackson, Michigan. You can contact this provider via phone number 5177401351. The mailing address for Rose Mary Heise is 1500 W Michigan Ave, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rose Mary Heise |
|---|---|
| Address | 1500 W Michigan Ave, Jackson, Michigan |
| Phone Number | 5177401351 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, CAADC, |
NPI Number Detail
| NPI Number | 1801927066 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2015-03-27 |
Provider Mailing Address Detail
| Address | 1500 W Michigan Ave |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492024025 |
| Phone Number | 5177401351 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1-00244 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 750910682 | MI | BCBSM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Rose Mary Heise by the Centers for Medicare & Medicaid Services?
The Rose Mary Heise has been issued the NPI (National Provider Identifier) 1801927066, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Rose Mary Heise's physical address?
The Rose Mary Heise is physically located at 1500 W Michigan Ave, in the city of Jackson, MI, with the postal code 492024025.
What is Rose Mary Heise's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rose Mary Heise is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Rose Mary Heise receive the assignment of its 1801927066 from the Centers for Medicare & Medicaid Services?
The Rose Mary Heise was issued its 1801927066 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date was the information pertaining to Rose Mary Heise, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rose Mary Heise, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-27.