MR. WALTER EDWARD HEUCK NPI 1609245323

NPI Information

NPI: 1609245323
Provider Name: MR. WALTER EDWARD HEUCK
Classification: Point of Service - 305S00000X
Entity Type: Individual
Address:
15113 W LAS BRIZAS LN
SUN CITY WEST, AZ
ZIP 85375
Phone: (602) 576-7738
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MR. Walter Edward Heuck is a point of service in Sun City West, AZ. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. MR. Walter Edward Heuck NPI is 1609245323. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15113 W LAS BRIZAS LN
SUN CITY WEST, AZ
ZIP 85375-056
Phone: (602) 576-7738

The enumeration date for this NPI number is 9/23/2015 and was last updated on 9/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305S00000X	Point of Service				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	041253	OTHER	ARIZONA	AHCCCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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