Paul Heisner
Individual provider Active NPI Personal Care Attendant · Cummings, ND
NPI 1104535087 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1104535087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 24 Front St
Cummings, ND 58223-2301 - Phone
- (701) 636-2028
- NPI assigned
- Nov 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
24 Front St
Cummings, ND 58223-2301
Mailing address
24 Front St
Cummings, ND 58223-2301
Phone (701) 636-2028
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pheisner@rrv.net | Direct |
Other providers in Cummings, ND
All providers in Cummings, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.