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Contact Information

ANDREW J HEIB, CCSP
2225 E CENTRE AVE
PORTAGE, MI49002-4421
 Phone: 269-324-0100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ANDREW J HEIB · (Male)

NPI Number 1235112731
Status Active
Credentials CCSP
Entity Individual
Enumeration date 11/29/2005
Last updated 06/17/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6816
  • MI Medicaid 269464414
  • MI Other MI5489001 MEDICARE PTAN
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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