Healthcare Provider Details
I. General information
NPI: 1437264934
Provider Name (Legal Business Name): HEIDI SUE YEAGER B.S., D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/21/2006
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4456 SEEGER ST
CASS CITY MI
48726-1417
US
IV. Provider business mailing address
4456 SEEGER ST
CASS CITY MI
48726-1417
US
V. Phone/Fax
- Phone: 989-872-2737
- Fax: 989-872-2740
- Phone: 989-872-2737
- Fax: 989-872-2740
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2301008811 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: