Provider Demographics
NPI:1568545515
Name:HEINS, JAMES F JR (PA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:HEINS
Suffix:JR
Gender:M
Credentials:PA
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Mailing Address - Street 1:2002 MEDICAL PKWY STE 630
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3059
Mailing Address - Country:US
Mailing Address - Phone:410-224-2260
Mailing Address - Fax:410-224-3090
Practice Address - Street 1:2002 MEDICAL PKWY STE 630
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3059
Practice Address - Country:US
Practice Address - Phone:410-224-2260
Practice Address - Fax:410-224-3090
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2013-07-01
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Provider Licenses
StateLicense IDTaxonomies
NC001002319363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q50030Medicare UPIN