Justin Michael Heilenbach in Williston - Clinical
Justin Michael Heilenbach - NPI 1972789345
Justin Michael Heilenbach is a Clinical in Williston, Vermont. Justin Michael Heilenbach practices all healthcare services and medical treatments related to Clinical. The NPI Number for Justin Michael Heilenbach is 1972789345. The last update date is 2011-01-20.
Justin Michael Heilenbach's current location address is 25 Wentworth Dr, Williston, Vermont. You can contact this provider via phone number 8028784990 and fax number 8028781477. The mailing address for Justin Michael Heilenbach is 25 Wentworth Dr, Williston, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Michael Heilenbach |
|---|---|
| Address | 25 Wentworth Dr, Williston, Vermont |
| Phone Number | 8028784990 |
| Fax Number | 8028781477 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1972789345 |
|---|---|
| Provider Enumeration Date | 2008-01-16 |
| Last Updated Date | 2011-01-20 |
Provider Mailing Address Detail
| Address | 25 Wentworth Dr |
|---|---|
| City | Williston |
| State | Vermont (VT) |
| Post Code | 54959733 |
| Phone Number | 8028784990 |
| Fax Number | 8028781477 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 89.0074343 |
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What is the unique 10-digit identification code assigned to Justin Michael Heilenbach by the Centers for Medicare & Medicaid Services?
The Justin Michael Heilenbach has been issued the NPI (National Provider Identifier) 1972789345, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Justin Michael Heilenbach's facilities are geographically located?
The facilities of Justin Michael Heilenbach are physically situated at the following location: 25 Wentworth Dr, Williston, VT, 54959733.
What is Justin Michael Heilenbach's area of expertise and its corresponding taxonomy classification?
The Justin Michael Heilenbach's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1972789345 to Justin Michael Heilenbach?
The Justin Michael Heilenbach received its 1972789345 assignment from the Centers for Medicare & Medicaid Services on 2008-01-16.
When was the information pertaining to Justin Michael Heilenbach most recently updated or revised?
The details related to Justin Michael Heilenbach, including its address, specialty, and other relevant information, were last updated or revised on 2011-01-20.
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