Provider Demographics
NPI:1275595654
Name:HECK, WILLIAM T (HMC(SW/FMF), IDC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:T
Last Name:HECK
Suffix:
Gender:M
Credentials:HMC(SW/FMF), IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BRAHMS DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-6612
Mailing Address - Country:US
Mailing Address - Phone:757-445-0803
Mailing Address - Fax:757-445-0792
Practice Address - Street 1:MEDICAL DEPARTMENT
Practice Address - Street 2:USS RAMAGE (DDG 61)
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09586-1279
Practice Address - Country:US
Practice Address - Phone:757-445-0883
Practice Address - Fax:757-445-0792
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman