Individual
JAKE P HEINEY
Active
Individual
JAKE P HEINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.090990
OH
207X00000X
Orthopaedic Surgery Physician
A97334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000559947
ANTHEM
—
01
—
05382
PHC
—
05
—
2817723
—
OH
01
—
9873118
AETNA
—
01
—
P00820608
RRMC
OH
Enumeration date
01/22/2007
Last updated
08/06/2015
Update your record
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