| Eric J. Heathers MD | |
|
3508 S Lafountain St Kokomo IN 46902-3803 | |
| (765) 864-5704 | |
| (765) 864-5720 |
| Full Name | Eric J. Heathers MD |
|---|---|
| Speciality | Family Medicine |
| Location | 3508 S Lafountain St, Kokomo, Indiana |
| Authorized Official Name and Position | Eric J Heathers (MANAGER) |
| Authorized Official Contact | 7658645704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric J. Heathers MD 3508 S Lafountain St Kokomo IN 46902-3803 Ph: (765) 864-5704 | Eric J. Heathers MD 3508 S Lafountain St Kokomo IN 46902-3803 Ph: (765) 864-5704 |
| NPI Number | 1043409758 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043409758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01044350A (Indiana) | Primary |
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