Larry Ira Heiss in Fort Bragg - Family Medicine
Larry Ira Heiss - NPI 1629192687
Larry Ira Heiss is a Family Medicine in Fort Bragg, California. Larry Ira Heiss practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Larry Ira Heiss is 1629192687. The last update date is 2014-08-11.
Larry Ira Heiss's current location address is 205 South St, Fort Bragg, California. You can contact this provider via phone number 7079641251 and fax number 7079612722. The mailing address for Larry Ira Heiss is 205 South St, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Ira Heiss |
|---|---|
| Address | 205 South St, Fort Bragg, California |
| Phone Number | 7079641251 |
| Fax Number | 7079612722 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629192687 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2014-08-11 |
Provider Mailing Address Detail
| Address | 205 South St |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 954375540 |
| Phone Number | 7079641251 |
| Fax Number | 7079612722 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G28236 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC03967F | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Larry Ira Heiss by the Centers for Medicare & Medicaid Services?
The Larry Ira Heiss has been issued the NPI (National Provider Identifier) 1629192687. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry Ira Heiss's facilities are situated?
The facilities of Larry Ira Heiss are physically located at the following address: 205 South St, Fort Bragg, CA, 954375540.
What is Larry Ira Heiss's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry Ira Heiss's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When did Larry Ira Heiss receive its 1629192687 assignment?
The Larry Ira Heiss was assigned its 1629192687 on 2007-03-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Larry Ira Heiss last refreshed?
The information related to the Larry Ira Heiss, including its address, specialty, and other relevant details, was last updated on 2014-08-11.