Suzanne Perez Heckmann
Individual provider Active NPI Home Modifications Contractor · Fowler, CO
NPI 1851003487 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1851003487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- Practice address
- 65295 US Highway 50
Fowler, CO 81039-9605 - Phone
- (719) 691-5862
- NPI assigned
- Dec 14, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Yes |
Addresses
Primary practice location
65295 US Highway 50
Fowler, CO 81039-9605
Mailing address
65295 US Highway 50
Fowler, CO 81039-9605
Phone (719) 691-5862
Other providers in Fowler, CO
- Cindy Lynne Baca
- Alina Jolene Davis
- Kassidy Fleming-Bankston
- Fowler Health Care Center, Inc.
- Fowler Rural Fire Protection District
- Lil Buckaroo Pediatrics
- Cami Manchego
- Robert B Moorhead
- Gordon Ray
- Tri County Housing & CDC
All providers in Fowler, CO · Home Modifications Contractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 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.