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Jack William Heidenreich, MD
Family Medicine Physician in Raceland, Louisiana
NPI 1316944374

Jack William Heidenreich is a Family Medicine Physician based in Raceland, LA. Jack William Heidenreich practices in Raceland, LA and has the professional credentials of MD. The NPI Number for Jack William Heidenreich is 1316944374 and holds a License No. MD.020478 (Louisiana).

The current practice location address for Jack William Heidenreich is 111 Acadia Drive, Raceland, LA and can be reached out via phone at 985-537-7575 and via fax at 985-537-7584.

Location: 111 Acadia Drive, Raceland, LA, 70394-2619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316944374
Provider Name
Jack William Heidenreich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Acadia Drive, Raceland, LA, 70394-2619
Phone Number
985-537-7575
Fax Number
985-537-7584
Provider Enumeration Date
07/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1901407 05 LA
02635262 05 MS
080192843 01 LA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
111 Acadia Drive
City
Raceland
State
Louisiana
Zip
70394-2619
Phone Number
985-537-7575
Fax Number
985-537-7584
person
Provider Business Mailing Address Details
Address
111 Acadia Drive
City
Raceland
State
Louisiana
Zip
70394-2619
Phone Number
985-537-7575
Fax Number
985-537-7584
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD.020478 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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