Andrew J Heib is a Sports Physician in Portage, Michigan. Andrew J Heib practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Andrew J Heib is 1235112731. The last update date is 2014-06-17.
Andrew J Heib's current location address is 2225 E Centre Ave, Portage, Michigan. You can contact this provider via phone number 2693240100. The mailing address for Andrew J Heib is 2225 E Centre Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew J Heib |
|---|---|
| Address | 2225 E Centre Ave, Portage, Michigan |
| Phone Number | 2693240100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CCSP |
NPI Number Detail
| NPI Number | 1235112731 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2014-06-17 |
Provider Mailing Address Detail
| Address | 2225 E Centre Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490024421 |
| Phone Number | 2693240100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 6816 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MI5489001 | MI | MEDICARE PTAN | |
| 269464414 | MI | -- |
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What is the unique identifier code issued to Andrew J Heib by the Centers for Medicare & Medicaid Services (CMS)?
The Andrew J Heib has been assigned the NPI (National Provider Identifier) 1235112731. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Andrew J Heib's facilities are geographically located?
The facilities of Andrew J Heib are physically situated at the following location: 2225 E Centre Ave, Portage, MI, 490024421.
What is the Andrew J Heib's specialty and taxonomy code?
The Andrew J Heib's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235112731 to Andrew J Heib?
The Andrew J Heib received its 1235112731 assignment from the Centers for Medicare & Medicaid Services on 2005-11-29.
As of what date were the Andrew J Heib's details last updated?
The information pertaining to the Andrew J Heib, including its address, specialty, and other details, was most recently updated on 2014-06-17.
NPI Number: 1023011681
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