Provider Demographics
NPI:1720230162
Name:JAMES D. HEINZ, D.C. INC.
Entity Type:Organization
Organization Name:JAMES D. HEINZ, D.C. INC.
Other - Org Name:FAMILY CHIROPRACTIC OF DEKALB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:HEINZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-377-3377
Mailing Address - Street 1:2545 LAWRENCEVILLE HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3241
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2545 LAWRENCEVILLE HWY STE 100
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3241
Practice Address - Country:US
Practice Address - Phone:404-377-3377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty