Raina Heckelsberg
Individual provider Active NPI Contractor · Bowling Green, IN
NPI 1649045360 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1649045360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 8070 E Sr 46
Bowling Green, IN 47833 - Phone
- (812) 691-6242
- NPI assigned
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | IN | Yes |
Addresses
Primary practice location
8070 E Sr 46
Bowling Green, IN 47833
Mailing address
8070 E Sr 46
Bowling Green, IN 47833
Phone (812) 691-6242
Other providers in Bowling Green, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2023. 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.