Jack William Heidenreich in Raceland - Family Medicine
Jack William Heidenreich - NPI 1316944374
Jack William Heidenreich is a Family Medicine in Raceland, Louisiana. Jack William Heidenreich practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack William Heidenreich is 1316944374. The last update date is 2010-08-23.
Jack William Heidenreich's current location address is 111 Acadia Drive, Raceland, Louisiana. You can contact this provider via phone number 9855377575 and fax number 9855377584. The mailing address for Jack William Heidenreich is 111 Acadia Drive, Raceland, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack William Heidenreich |
|---|---|
| Address | 111 Acadia Drive, Raceland, Louisiana |
| Phone Number | 9855377575 |
| Fax Number | 9855377584 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316944374 |
|---|---|
| Provider Enumeration Date | 2005-07-06 |
| Last Updated Date | 2010-08-23 |
Provider Mailing Address Detail
| Address | 111 Acadia Drive |
|---|---|
| City | Raceland |
| State | Louisiana (LA) |
| Post Code | 703942619 |
| Phone Number | 9855377575 |
| Fax Number | 9855377584 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD.020478 |
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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 |
|---|---|---|---|
| 1901407 | LA | -- | |
| 2635262 | MS | -- | |
| 80192843 | LA | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack William Heidenreich by the Centers for Medicare & Medicaid Services?
The Jack William Heidenreich has been issued the NPI (National Provider Identifier) 1316944374 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jack William Heidenreich's physical address?
The Jack William Heidenreich is physically located at 111 Acadia Drive, in the city of Raceland, LA, with the postal code 703942619.
What is Jack William Heidenreich's area of expertise and its corresponding taxonomy classification?
The Jack William Heidenreich's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1316944374 to Jack William Heidenreich?
The Jack William Heidenreich received its 1316944374 assignment from the Centers for Medicare & Medicaid Services on 2005-07-06.
When was the information regarding Jack William Heidenreich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jack William Heidenreich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-08-23.