John Alex Heintzelman
Family Doctor
225 E State Route 14
Columbiana
, Ohio 44408-8490
John Alex Heintzelman
Family Doctor
225 E State Route 14
Columbiana
, Ohio 44408-8490
(330) 482-3690
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- John Alex Heintzelman
- 225 E State Route 14
- Columbiana, OH
- Zip : 44408-8490
- Fax : (330) 482-3690
- Phone : (330) 482-2903
Second Address
- John Alex Heintzelman
- 225 E State Route 14
- Columbiana, OH
- Zip : 44408-8490
- Fax : (330) 482-3690
- Phone : (330) 482-2903
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Is John Alex Heintzelman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 35123178 | OH |
National Provider Identifier
| NPI | 1003194739 |
|---|---|
| Provider Name | John Alex Heintzelman |
| First Address | Columbiana, OH 44408-8490 |
| Second Address | Columbiana, OH 44408-8490 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2011 |
| Last Update Date | 28/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0106485 | (05) | OH |
| H347380 | MEDICARE PTAN (01) | OH |
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.