Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 5830 | MN |
N | 225XE1200X | Ergonomics | 5830 | MN |
N | 2251G0304X | Physical Therapist - Geriatrics | 5830 | MN |
NPI | 1144426537 |
---|---|
Provider Name | Mr. Eric Richard Heimkes |
First Address | Annandale, MN 55302-9584 |
Second Address | Annandale, MN 55302-9584 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 08/07/2007 |