Individual
ANDREW J HEIB
Active
Individual
ANDREW J HEIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCSP
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
6816
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269464414
—
MI
01
—
MI5489001
MEDICARE PTAN
MI
Enumeration date
11/29/2005
Last updated
06/17/2014
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