National Provider Identifier
Jacqueline Marie Heim, D.O.
Jacqueline Marie Heim, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 835-3097.
Profile Overview
- NPI
- 1134410640
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 02, 2011
- Last Updated
- June 27, 2014
Practice Location
- 1616 Kensington Ave
- Buffalo, NY 14215-1433
Phone: (716) 835-3097
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1134410640
- Entity Type
- Individual
- Last Name
- Heim
- First Name
- Jacqueline
- Middle Name
- Marie
- Credential
- D.O.
- Mailing Street Address
- 1616 Kensington Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1433
- Mailing Country
- US
- Mailing Phone
- (716) 835-3097
- Mailing Fax
- (716) 837-4654
- Practice Street Address
- 1616 Kensington Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1433
- Practice Country
- US
- Practice Phone
- (716) 835-3097
- Practice Fax
- (716) 837-4654
- Enumeration Date
- May 02, 2011
- Last Updated
- June 27, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)