Healthcare Provider Details

I. General information

NPI: 1477618494
Provider Name (Legal Business Name): RHONDA ANN HEFFLINGER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHONDA ANN HUDSON DC

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119A N KINGSHIGHWAY
ST CHARLES MO
63301-1634
US

IV. Provider business mailing address

119A N KINGSHIGHWAY
ST CHARLES MO
63301-1634
US

V. Phone/Fax

Practice location:
  • Phone: 636-724-4884
  • Fax: 636-724-4884
Mailing address:
  • Phone: 636-724-4884
  • Fax: 636-724-4884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCE004921
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: