Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP NORMAN HEISTAD
Active Sole ProprietorPHILLIP NORMAN HEISTAD is a Audiologist-Hearing Aid Fitter healthcare provider located in WHITE LAKE, Wisconsin. NPI 1134493067 is currently active in the NPPES registry. Verify at CMS.
Audiologist-Hearing Aid Fitter · WHITE LAKE, WI
Registration Details
- NPI Number
- 1134493067
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2012 (14.427045817511 yrs)
- Last Updated
- Feb 23, 2012
- License
-
237700000X (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1226 LAKE STWHITE LAKE, WI, 544919750Browse WI providers · Browse ZIP 54491
- Phone
- 7158828107
- Primary Specialty
-
Audiologist-Hearing Aid Fitter
237600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.