Individual
DR. RICHARD JOSEPH HEITHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
711 HARRISON AVE, JEANNETTE, PA 15644-1896
(724) 523-5995
(724) 523-5995
Mailing address
PO BOX 768, JEANNETTE, PA 15644-0768
(724) 523-5955
(724) 523-5955
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC-002888-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049974
—
PA
Enumeration date
11/21/2006
Last updated
08/27/2014
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