Heavilon, Jeffrey A

Heavilon, Jeffrey A is an individual health care provider with primary practice located at 3600 W Bethel Ave , Muncie IN 47304-5407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Heavilon, Jeffrey A can be contacted via phone (765) 284-7738.

Contact Information

Primary practice address
3600 W Bethel Ave Muncie IN 47304-5407
Phone: (765) 284-7738
Fax: (765) 213-3713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01033655A Indiana

Profile Details

NPI number 1174539076
LBN Legal business name Heavilon, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174539076 NPPES
Indiana Other 000000087003 ANTHEM PIN
Indiana Other 200018970 ANTHEM PIN
Indiana MEDICAID 100341090 ANTHEM PIN

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