Healthcare Provider Details
I. General information
NPI: 1508040403
Provider Name (Legal Business Name): HEKLER CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2007
Last Update Date: 12/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5616 CHEVIOT RD
CINCINNATI OH
45247-7006
US
IV. Provider business mailing address
5616 CHEVIOT RD
CINCINNATI OH
45247-7006
US
V. Phone/Fax
- Phone: 513-741-4700
- Fax: 513-741-4712
- Phone: 513-741-4700
- Fax: 513-741-4712
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 3856 |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
MICHAEL
E
HEKLER
Title or Position: SOLE MEMBER
Credential: D.C.
Phone: 513-376-1033