Janeil M Heaton in Fruitland - Specialist

Janeil M Heaton - NPI 1245205665

Janeil M Heaton is a Specialist in Fruitland, Idaho. Janeil M Heaton practices all healthcare services and medical treatments related to Specialist. The NPI Number for Janeil M Heaton is 1245205665. The last update date is 2010-07-01.

Janeil M Heaton's current location address is 215 N Whitley Dr, Fruitland, Idaho. You can contact this provider via phone number 2084526366 and fax number 2084526399. The mailing address for Janeil M Heaton is 215 N Whitley Dr, Fruitland, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Janeil M Heaton
Address 215 N Whitley Dr, Fruitland, Idaho
Phone Number 2084526366
Fax Number 2084526399
Sole Proprietor N
Credentials M.P.T.

NPI Number Detail

NPI Number 1245205665
Provider Enumeration Date 2006-02-20
Last Updated Date 2010-07-01

Provider Mailing Address Detail

Address 215 N Whitley Dr
City Fruitland
State Idaho (ID)
Post Code 836192705
Phone Number 2084526366
Fax Number 2084526399

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No PT1882
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
806985500 ID --

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FAQs about Janeil M Heaton

What is the Janeil M Heaton's 1245205665?

The Janeil M Heaton's NPI (National Provider Identifier) Number is 1245205665. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Janeil M Heaton's facilities are situated?

The facilities of Janeil M Heaton are physically located at the following address: 215 N Whitley Dr, Fruitland, ID, 836192705.

What is the Janeil M Heaton's specialty and taxonomy code?

The Janeil M Heaton's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1245205665 to Janeil M Heaton?

The Centers for Medicare & Medicaid Services assigned the 1245205665 to Janeil M Heaton on 2006-02-20.

As of what date was the information pertaining to Janeil M Heaton, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Janeil M Heaton, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-01.

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