Individual
MR. DENNIS WILLIAM HEIBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7300
(802) 674-7314
Mailing address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7300
(802) 674-7314
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
043575-23-11
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
1010091185
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NA0730
—
VT
05
—
30342168
—
NH
01
—
40Y003605NH01
ANTHEM BCBS
NH
01
—
430067345
RAIL ROAD MEDICARE
NH
01
—
668510
CIGNA
NH
01
—
AA48568
HARVARD PILGRAM HEALTH
NH
01
—
HEIB29590
BCBS OF VERMONT
VT
Enumeration date
05/31/2005
Last updated
02/11/2013
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