SearchOhio171W00000X

Jason Heckman

NPI 1508272857 · on the registry since 2014 · sole proprietor

Practice

Address
5600 Poe Ave
Dayton, OH 45414
Phone
(937) 458-0322
Fax
(937) 401-1021

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio