Individual
PAUL MICHAEL HEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
30246 CHEVY CHASE DR, ELKHART, IN 46514-8779
(574) 264-2303
Mailing address
30246 CHEVY CHASE DR, ELKHART, IN 46514-8779
(574) 264-2303
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224PH
—
IN
Enumeration date
10/06/2022
Last updated
10/06/2022
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