National Provider Identifier Database

SHANNON M HEITMILLER, OTR – NPI #1033646807
Hand


Contact Information

SHANNON M HEITMILLER, OTR
1260 N 17TH ST
LAFAYETTE, IN47904-2163
Phone: 765-423-6885
Fax: 765-423-6099
Website:
Specialty Taxonomy Code
* Hand 225XH1200X

* Indicates primary specialty

NPI Profile & details for SHANNON M HEITMILLER

NPI Number 1033646807
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 05/11/2017
Last updated 05/11/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • IN License #: 30012351A
Hospital affiliation n/a

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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