Individual
JUSTIN HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(715) 309-8362
(715) 309-8362
Mailing address
304 GREGORY ST, SCHERERVILLE, IN 46375-2209
(715) 309-8362
(715) 309-8362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28294121A
IN
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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