Individual
JULIE ANNE HEIMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 EAST COUNTY LINE ROAD, SUITE 201, GREENWOOD, IN 46143
(317) 865-8000
(317) 865-8012
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000828A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380227
ANTHEM PIN
IN
01
—
11513744
CAQH ID
IN
05
—
300005464
—
IN
01
—
P01751338
RR MEDICARE
IN
Enumeration date
09/28/2006
Last updated
11/27/2023
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