Heidecker, Jay T

Heidecker, Jay T is an individual health care provider with primary practice located at 2660 10Th Ave S Suite 528, Birmingham AL 35205-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Heidecker, Jay T can be contacted via phone (205) 933-9258.

Contact Information

Primary practice address
2660 10Th Ave S Suite 528 Birmingham AL 35205-1605
Phone: (205) 933-9258
Fax: (205) 933-6504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 00027302 Alabama

Profile Details

NPI number 1609817675
LBN Legal business name Heidecker, Jay T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1609817675 NPPES
Alabama Other 51535233 BLUE CROSS

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