Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD.28057 | AL |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD.28057 | AL |
NPI | 1245315308 |
---|---|
Provider Name | Dr. Christopher Andrew Heck |
First Address | Montgomery, AL 36117-3563 |
Second Address | Montgomery, AL 36117-3563 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 26/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000103271 | (05) | AL |
009911091 | (05) | AL |
009911172 | (05) | AL |
51006140 | BCBS (01) | AL |
51006143 | BCBS (01) | AL |