Provider Demographics
NPI:1669077293
Name:HECK, ERIN R
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:R
Last Name:HECK
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 1:1222 N COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:OKMULGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74447-7022
Mailing Address - Country:US
Mailing Address - Phone:918-549-0655
Mailing Address - Fax:
Practice Address - Street 1:1222 N COLLINS AVE
Practice Address - Street 2:
Practice Address - City:OKMULGEE
Practice Address - State:OK
Practice Address - Zip Code:74447-7022
Practice Address - Country:US
Practice Address - Phone:918-549-0655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator