Individual
DR. LANCE CHRISTOPHER HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1405 S DETROIT ST, BELLEFONTAINE, OH 43311-9709
(937) 592-6321
(937) 592-7644
Mailing address
1405 S DETROIT ST, BELLEFONTAINE, OH 43311-9709
(937) 592-6321
(937) 592-7644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1794
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351120
ANTHEM BLUE CROSS BLUE SH
—
05
—
0869501
—
OH
01
—
341700807-00
WORK COMP PROVIDER NUMBER
OH
01
—
P00217158
RAIL ROAD MEDICARE
—
Enumeration date
09/16/2006
Last updated
07/08/2007
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