Individual
JASON R HECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5600 POE AVE, DAYTON, OH 45414-3440
(937) 458-0322
(937) 401-1021
Mailing address
5600 POE AVE, DAYTON, OH 45414-3440
(937) 458-0322
(937) 401-1021
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
29800060
OH
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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