Jacob H Heeringa
Jacob H Heeringa is an Athletic Trainer in Lynchburg, Virginia. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1971 University BlvdLynchburg, VA 24515-4366
Phone: (855) 731-2512
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1710736509 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 15, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 9, 2024 |
| Mailing address | 212 Deerwood Dr, Lynchburg, VA 24502-4366 |
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