Individual
DR. JADE NICHOLAS HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 LEON AVE, EUNICE, LA 70535-3917
(337) 457-8166
(888) 371-3069
Mailing address
151 LEON AVE, EUNICE, LA 70535-3917
(337) 457-8166
(888) 371-3069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.201684
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505722
—
LA
Enumeration date
05/22/2007
Last updated
03/26/2015
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