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NPI Code Detail

MEDICARE: DR. JEFFREY D HEIMENSEN DC

MEDICARE: DR. JEFFREY D HEIMENSEN DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorA05618IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
254891OTHERIAWELLMARK BCBS
334805OTHERIASIOUX VALLEY HEALTH
44642OTHERIAMIDLANDS CHOICE

General Provider Information

NPI Number : 1306890256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY D HEIMENSEN DC
Provider Business Mailing Address
First Line : 111 ARIZONA AVE NW
Second Line : HEIMENSEN FAMILY CHIROPRACTIC CENTER
City : ORANGE CITY
State : IA
Zip : 51041-1425
Country : US
Telephone Number : 712-737-3850
Fax Number : 712-737-3859
Provider Business Practice Location Address
First Line : 111 ARIZONA AVE NW
Second Line : HEIMENSEN FAMILY CHIROPRACTIC CENTER
City : ORANGE CITY
State : IA
Zip : 51041-1425
Country : US
Telephone Number : 712-737-3850
Fax Number : 712-737-3859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 03/09/2010

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