Provider Demographics
NPI:1144978495
Name:POHLMAN, HEATHER M (FDN-P, FMCHC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:POHLMAN
Suffix:
Gender:F
Credentials:FDN-P, FMCHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 RUGBY RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-1280
Mailing Address - Country:US
Mailing Address - Phone:847-293-4336
Mailing Address - Fax:
Practice Address - Street 1:32 RUGBY RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-1280
Practice Address - Country:US
Practice Address - Phone:847-293-4336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach