Healthcare Provider Details
I. General information
NPI: 1750465563
Provider Name (Legal Business Name): HEUER & ASSOCIATES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2006
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
613 23RD ST SUITE 210
ASHLAND KY
41101-2878
US
IV. Provider business mailing address
613 23RD ST SUITE 210
ASHLAND KY
41101-2878
US
V. Phone/Fax
- Phone: 606-326-9847
- Fax: 606-324-3418
- Phone: 606-326-9847
- Fax: 606-324-3418
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208G00000X |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
J
HEUER
Title or Position: PRESIDENT
Credential: MD
Phone: 606-326-9847