Andrew J Heib
Chiropractic Sports Physician
2225 E Centre Ave
Portage
, Michigan 49002-4421
Andrew J Heib
Chiropractic Sports Physician
2225 E Centre Ave
Portage
, Michigan 49002-4421
(269) 324-0100
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Andrew J Heib
- 2225 E Centre Ave
- Portage, MI
- Zip : 49002-4421
- Phone : (269) 324-0100
Second Address
- Andrew J Heib
- 2225 E Centre Ave
- Portage, MI
- Zip : 49002-4421
- Phone : (269) 324-0100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 6816 | MI |
National Provider Identifier
| NPI | 1235112731 |
|---|---|
| Provider Name | Andrew J Heib |
| First Address | Portage, MI 49002-4421 |
| Second Address | Portage, MI 49002-4421 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2005 |
| Last Update Date | 17/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 269464414 | (05) | MI |
| MI5489001 | MEDICARE PTAN (01) | MI |
| U22897 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.