MEDICARE: HEGLER CHIROPRACTIC LLC

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
1	111N00000X	Chiropractor	5330	CO

General Provider Information

NPI Number	:	1316382351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEGLER CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	1040 S GAYLORD ST STE 204
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-4652
Country	:	US
Telephone Number	:	303-719-2225
Fax Number	:

Provider Business Practice Location Address
First Line	:	1040 S GAYLORD ST STE 204
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-4652
Country	:	US
Telephone Number	:	303-719-2225
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIRIAM HEGLER
Credential	:	D.C.
Telephone Number	:	303-719-2225

Provider Enumeration Date	:	05/03/2013
Last Update Date	:	05/03/2013

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