Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | E1-0000246 | DE |
N | 213ES0103X | Foot & Ankle Surgery | E1-0000246 | DE |
NPI | 1497126981 |
---|---|
Provider Name | Dr. Christopher M. Heisey |
First Address | Seaford, DE 19973-2339 |
Second Address | Seaford, DE 19973 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2015 |
Last Update Date | 02/08/2018 |