Heckler, Matthew W

Heckler, Matthew W is an sole proprietor health care provider with primary practice located at 7677 Yankee St Suite 110, Centerville OH 45459-3475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Heckler, Matthew W can be contacted via phone (937) 428-0400.

Contact Information

Primary practice address
7677 Yankee St Suite 110 Centerville OH 45459-3475
Phone: (937) 428-0400
Fax: (937) 415-9191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 9585 Ohio

Profile Details

NPI number 1164634689
LBN Legal business name Heckler, Matthew W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jan 7th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164634689 NPPES
Ohio MEDICAID 3046448
Ohio Other P00871995

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