Heritch, Andrew Jon

Heritch, Andrew Jon is an individual health care provider with primary practice located at 3116 N Dries Ln #201, Peoria IL 61604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Heritch, Andrew Jon can be contacted via phone (309) 686-1147.

Contact Information

Primary practice address
3116 N Dries Ln #201 Peoria IL 61604
Phone: (309) 686-1147
Fax: (309) 686-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-104460 Illinois

Profile Details

NPI number 1407948607
LBN Legal business name Heritch, Andrew Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 5th, 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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