MEDICARE: JAMES J HEATON DC

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
1	111N00000X	Chiropractor	2366	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205980075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES J HEATON DC

Provider Business Mailing Address
First Line	:	3995 BROADWAY STE 150
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2639
Country	:	US
Telephone Number	:	614-883-8100
Fax Number	:	614-883-8101

Provider Business Practice Location Address
First Line	:	3995 BROADWAY STE 150
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2639
Country	:	US
Telephone Number	:	614-883-8100
Fax Number	:	614-883-8101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	02/06/2025

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