Healthcare Provider Details

I. General information

NPI: 1770517203
Provider Name (Legal Business Name): MARGARET HELLER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 TAMALPAIS DR SUITE 205
CORTE MADERA CA
94925-1558
US

IV. Provider business mailing address

520 TAMALPAIS DR SUITE 205
CORTE MADERA CA
94925-1558
US

V. Phone/Fax

Practice location:
  • Phone: 415-927-3646
  • Fax: 415-924-6969
Mailing address:
  • Phone: 415-927-3646
  • Fax: 415-924-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number14632
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: