IndividualActive
Jack Heidenreich, MD
NPI 1316944374 · Family Medicine Physician · Raceland, LA
Provider details
- NPI number
- 1316944374
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD.020478 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Acadia Drive
Raceland, LA 70394-2619
Phone: (985) 537-7575
Fax: (985) 537-7584
Approximate (ZIP-level) locationGet directions
Mailing address
111 Acadia Drive
Raceland, LA 70394-2619
Registry dates
- Enumerated
- 2005-07-06
- Last updated
- 2010-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.