Healthcare Provider Details

I. General information

NPI: 1780991703
Provider Name (Legal Business Name): HEISER CHIROPRACTIC AND ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 11/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9020 NW SKYVIEW AVENUE
KANSAS CITY MO
64154
US

IV. Provider business mailing address

9020 N SKYVIEW AVE
KANSAS CITY MO
64154-8501
US

V. Phone/Fax

Practice location:
  • Phone: 816-505-2021
  • Fax: 816-505-2020
Mailing address:
  • Phone: 816-505-2021
  • Fax: 816-505-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number20007000967
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2007000967
License Number StateMO

VIII. Authorized Official

Name: DR. ANDREW DON HEISER
Title or Position: CHIROPRACTOR
Credential: B.S.,D.C.
Phone: 816-505-2021