Blake Heinonen
Physician Assistant · Conneaut, OH
Practice location
903 Lincoln DrConneaut, OH 44030-2137
- Phone
- (440) 813-7665
NPI record
- NPI
- 1235672437
- Entity type
- Individual (Type 1)
- Enumeration date
- November 21, 2016
- Last updated
- November 21, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
50.004922RX | OH |
About Blake Heinonen
Blake Heinonen is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 903 Lincoln Dr, Conneaut, OH 44030-2137. The NPI number 1235672437 was assigned on November 21, 2016 and the record was last updated on November 21, 2016.
Blake Heinonen lists a license in the registry: #50.004922RX (OH) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Blake Heinonen?
The NPI number is 1235672437.
What is the phone number of Blake Heinonen?
The phone number listed for the practice location is (440) 813-7665.
Where is Blake Heinonen located?
903 Lincoln Dr, Conneaut, OH 44030-2137.
What is the taxonomy code for Blake Heinonen?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.