Provider Demographics
NPI:1285698431
Name:HEEB, JON J (MD)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:J
Last Name:HEEB
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Gender:M
Credentials:MD
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Mailing Address - Street 1:330 ARKANSAS ST
Mailing Address - Street 2:STE. 205
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1335
Mailing Address - Country:US
Mailing Address - Phone:785-505-5045
Mailing Address - Fax:785-505-5288
Practice Address - Street 1:330 ARKANSAS ST
Practice Address - Street 2:STE. 205
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1335
Practice Address - Country:US
Practice Address - Phone:785-505-5045
Practice Address - Fax:785-505-5288
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2020-12-02
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Provider Licenses
StateLicense IDTaxonomies
KS0426895208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSG73913Medicare UPIN
KSG73913Medicare UPIN