Provider Demographics
NPI:1811077613
Name:HEIMANN, THOMAS KEITH (HEALTH SERVICES TECH)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:KEITH
Last Name:HEIMANN
Suffix:
Gender:M
Credentials:HEALTH SERVICES TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3056B FLINT DR
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-8008
Mailing Address - Country:US
Mailing Address - Phone:510-437-3456
Mailing Address - Fax:510-437-3037
Practice Address - Street 1:2100 2ND ST SW, SUITE 5314
Practice Address - Street 2:COMDT (CG-1122), U. S. COAST GUARD
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593
Practice Address - Country:US
Practice Address - Phone:510-437-3456
Practice Address - Fax:510-437-3037
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other