MEDICARE: DR. JEFFERY P HEIN M.D.

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	207Q00000X	Family Medicine Physician	MD053811L	PA

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	:	1457377715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY P HEIN M.D.

Provider Business Mailing Address
First Line	:	210 OHIO RIVER BLVD
Second Line	:
City	:	BADEN
State	:	PA
Zip	:	15005-1914
Country	:	US
Telephone Number	:	724-869-6002
Fax Number	:	724-869-6005

Provider Business Practice Location Address
First Line	:	210 OHIO RIVER BLVD
Second Line	:
City	:	BADEN
State	:	PA
Zip	:	15005-1914
Country	:	US
Telephone Number	:	724-869-6002
Fax Number	:	724-869-6005

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	09/16/2015

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