Heibig, Jacques J

Heibig, Jacques J is an individual health care provider with primary practice located at 1220 Trotwood Ave Suite 401, Columbia TN 38401-6433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Heibig, Jacques J can be contacted via phone (931) 388-8622.

Contact Information

Primary practice address
1220 Trotwood Ave Suite 401 Columbia TN 38401-6433
Fax: (931) 388-8227
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 28471 Tennessee

Profile Details

NPI number 1487717955
LBN Legal business name Heibig, Jacques J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated May 3rd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487717955 NPPES
Tennessee Other 4041153 BCBS TN
Tennessee MEDICAID 3804533 BCBS TN
Tennessee MEDICAID 3379860 BCBS TN

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