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Contact Information

JACOB HEETER, CRNA
907 SUMNER ST. SUITE M201
GUARDIAN ANESTHESIA INC.
STOUGHTON, MA02072
 Phone: 781-344-2325
 Fax: 781-341-8544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JACOB HEETER · (Male)

NPI Number 1568860187
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 12/13/2014
Last updated 07/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 2297563
  • MA License # RN2297563
Hospital affiliation(s)
  • SWEDISH MEDICAL CENTER - (Acute Care)
    747 BROADWAY
    SEATTLE, WA 98122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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