Jack William Heidenreich MD

  • NPI 1316944374
According to our database, the NPI number for Jack William Heidenreich MD is 1316944374 and activated since 18 years ago. Jack William Heidenreich MD is an individual provider who specializes in Family Medicine, and the primary practice location is 111 Acadia Drive, Raceland, LA 70394. You can also contact Jack William Heidenreich MD via telephone number is (985) 537-7575. Provider NPI information was last updated on 08/23/2010.

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Overview of Jack William Heidenreich MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/06/2005
  • Last updated: 08/23/2010

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: MD.020478
  • License State: LA

Provider Mailing Address

  • Address: 111 Acadia Drive
    Raceland, LA 70394
  • Phone: 985-537-7575
  • Fax: 985-537-7584

Provider Practice Location

  • Address: 111 Acadia Drive
    Raceland, LA 70394
  • Phone: 985-537-7575
  • Fax: 985-537-7584

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: MD.020478
  • License State: LA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 02635262
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack William Heidenreich MD?
  • A: The npi number for Jack William Heidenreich MD is 1316944374.
  • Q: What are Jack William Heidenreich MD's specialties?
  • A: Jack William Heidenreich MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jack William Heidenreich MD?
  • A: The medical license number for Jack William Heidenreich MD is MD.020478 and issued in LA in USA.
  • Q: Where is Jack William Heidenreich MD practice location?
  • A: Jack William Heidenreich MD is practicing at 111 Acadia Drive, Raceland, LA 70394.
  • Q: How to contact Jack William Heidenreich MD?
  • A: You can contact Jack William Heidenreich MD via 985-537-7575.