Provider Demographics
NPI:1659854370
Name:HECKAMAN, RACHEL
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HECKAMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SOPP WRIGHT STATE UNIVERITY 117 HEALTH SCIENCE BLDG.
Mailing Address - Street 2:3640 COLONEL GLENN HWY
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45435
Mailing Address - Country:US
Mailing Address - Phone:937-775-3458
Mailing Address - Fax:
Practice Address - Street 1:SOPP WRIGHT STATE UNIVERITY 117 HEALTH SCIENCE BLDG.
Practice Address - Street 2:3640 COLONEL GLENN HWY
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45435
Practice Address - Country:US
Practice Address - Phone:937-775-3458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-09
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program