Heynekamp, Johannes Jacobus

Heynekamp, Johannes Jacobus is an individual health care provider with primary practice located at 200 Neel Ave , Socorro NM 87801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Heynekamp, Johannes Jacobus can be contacted via phone (575) 835-2940.

Contact Information

Primary practice address
200 Neel Ave Socorro NM 87801
Phone: (575) 835-2940
Fax: (575) 835-2216
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 79-179 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 79-179 New Mexico

Profile Details

NPI number 1710103239
LBN Legal business name Heynekamp, Johannes Jacobus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 9th, 2013 - about 13 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 1710103239 NPPES
New Mexico MEDICAID 00063578

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