Provider Demographics
NPI:1518351725
Name:HEEKIN, RICHARD DAVID (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:DAVID
Last Name:HEEKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11764 MARCO BEACH DR STE 9A
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-7684
Mailing Address - Country:US
Mailing Address - Phone:908-539-0300
Mailing Address - Fax:908-539-0390
Practice Address - Street 1:39 NJ-12
Practice Address - Street 2:#204
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-539-0300
Practice Address - Fax:908-539-0390
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2963872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry