Healthcare Provider Details

I. General information

NPI: 1073675047
Provider Name (Legal Business Name): HEIM CHIROPRACTIC, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 HIGHWAY 65 NE STE 4
FRIDLEY MN
55432-3349
US

IV. Provider business mailing address

7101 HIGHWAY 65 NE STE 4
FRIDLEY MN
55432-3349
US

V. Phone/Fax

Practice location:
  • Phone: 651-482-9160
  • Fax: 651-925-0053
Mailing address:
  • Phone: 651-482-9160
  • Fax: 651-925-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2712
License Number StateMN

VIII. Authorized Official

Name: DR. DEBORAH MARY HEIM, DC
Title or Position: OWNER/PRESIDENT
Credential: D.C.
Phone: 612-940-9707