Provider Demographics
NPI:1194928168
Name:HEINTZ, JAY W (MD)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:W
Last Name:HEINTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:42439 PELICAN PROFESSIONAL PARK
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-2405
Mailing Address - Country:US
Mailing Address - Phone:985-542-1226
Mailing Address - Fax:985-542-2887
Practice Address - Street 1:42439 PELICAN PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-2405
Practice Address - Country:US
Practice Address - Phone:985-542-1226
Practice Address - Fax:985-542-2887
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2024-10-01
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Provider Licenses
StateLicense IDTaxonomies
LA205387208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology