Individual
JONATHAN ANDREW HEISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 SOUTHWEST BLVD, JEFFERSON CITY, MO 65102-1128
(573) 462-6966
(573) 635-0815
Mailing address
3834 OXFORD RD, JEFFERSON CITY, MO 65109-5341
(573) 462-6966
(573) 635-0815
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/28/2010
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