Healthcare Provider Details

I. General information

NPI: 1568452019
Provider Name (Legal Business Name): JAMES R HELLER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 BALTIMORE PIKE
SPRINGFIELD PA
19064-3071
US

IV. Provider business mailing address

616 BALTIMORE PIKE
SPRINGFIELD PA
19064-3071
US

V. Phone/Fax

Practice location:
  • Phone: 610-328-5111
  • Fax:
Mailing address:
  • Phone: 610-328-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number16052575
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: