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NPI Code Detail

MEDICARE: BROOKLYNN HECK

MEDICARE: BROOKLYNN HECK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1164379871
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKLYNN HECK
Provider Business Mailing Address
First Line : PO BOX 977
Second Line :
City : HURRICANE
State : WV
Zip : 25526-0977
Country : US
Telephone Number : 681-235-7156
Fax Number :
Provider Business Practice Location Address
First Line : 6979 TEAYS VALLEY RD
Second Line :
City : SCOTT DEPOT
State : WV
Zip : 25560-7097
Country : US
Telephone Number : 681-235-7156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ BROOKLYNN HECK ” Practice Location

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