Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 01068201A | IN |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01068201A | IN |
N | 207VG0400X | Gynecologist | 30391 | KY |
NPI | 1336143031 |
---|---|
Provider Name | Mr. Michael H. Heit |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-1264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 14/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200041320 | (05) | IN |
266430677 | MEDICARE PIN (01) | IN |
64303910 | (05) | KY |
F5559 | (02) |