| James Robert Heisse, DC | |
|
9859 Big Bend Blvd Ste 1, Saint Louis, MO 63122-6588 | |
| (314) 909-0404 | |
| (314) 909-0603 |
| Full Name | James Robert Heisse |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 9859 Big Bend Blvd Ste 1, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710639554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2022000205 (Missouri) | Primary |
| Provider Name | Kirk Barron Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194858456 PECOS PAC ID: 5597868414 Enrollment ID: O20070314000434 |
| Mailing Address | Practice Location Address |
|---|---|
| James Robert Heisse, DC 9859 Big Bend Blvd Ste 1, Saint Louis, MO 63122-6588 Ph: (314) 909-0404 | James Robert Heisse, DC 9859 Big Bend Blvd Ste 1, Saint Louis, MO 63122-6588 Ph: (314) 909-0404 |
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