MEDICARE: HELLER CHIROPRACTIC PC

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	06311	IA

General Provider Information

NPI Number	:	1881894665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELLER CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	3960 NW URBANDALE DRIVE
Second Line	:
City	:	URBANDALE
State	:	IA
Zip	:	50322
Country	:	US
Telephone Number	:	515-276-3281
Fax Number	:	515-276-3357

Provider Business Practice Location Address
First Line	:	3960 NW URBANDALE DR
Second Line	:
City	:	URBANDALE
State	:	IA
Zip	:	50322-7922
Country	:	US
Telephone Number	:	515-276-3281
Fax Number	:	515-276-3357

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY HELLER
Credential	:	D.C.
Telephone Number	:	515-276-3281

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	07/20/2007

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