Individual
CAROLYN JEAN HEIDELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 ABBEY RD, PERRYSBURG, OH 43551-3170
(567) 288-4325
Mailing address
668 SOUTHFIELD DRIVE, MAUMEE, OH 43537-2710
(567) 288-4325
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2938414
—
OH
Enumeration date
06/03/2014
Last updated
04/29/2020
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