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Contact Information

JON S HEIST DO PA
361 N MAIN ST
GLASSBORO, NJ08028
 Phone: 856-881-8618
 Fax: 856-881-5368
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JON S HEIST DO PA · (Female)

NPI # 1467467175
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 8091609
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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