Heacock, James K
Heacock, James K is an individual health care provider with primary practice located at 1640 Highway 88 Suite 203, Brick NJ 08724-3036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Heacock, James K can be contacted via phone (732) 458-7777.Contact Information
Primary practice address
1640 Highway 88 Suite 203
Brick NJ 08724-3036
Phone: (732) 458-7777
Fax: (732) 263-9470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA03492800 | New Jersey |
Profile Details
| NPI number | 1992778153 |
|---|---|
| LBN Legal business name | Heacock, James K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Apr 24th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992778153 | NPPES |
| New Jersey | Other | 1K8145 | HEALTHNET |
| New Jersey | Other | 110172482 | HEALTHNET |
| New Jersey | Other | 223360408-010 | HEALTHNET |
| New Jersey | Other | P1043622 | HEALTHNET |
| New Jersey | MEDICAID | 4745809 | HEALTHNET |
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