Healthcare Provider Details

I. General information

NPI: 1902020365
Provider Name (Legal Business Name): HEIKKINEN CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 03/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E CARTWRIGHT RD STE 133
MESQUITE TX
75149-6063
US

IV. Provider business mailing address

820 E CARTWRIGHT RD STE 133
MESQUITE TX
75149-6063
US

V. Phone/Fax

Practice location:
  • Phone: 972-285-3232
  • Fax: 972-285-5993
Mailing address:
  • Phone: 972-285-3232
  • Fax: 972-285-5993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4586
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11010
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number4245
License Number StateTX

VIII. Authorized Official

Name: DR. MARSHA KAY HEIKKINEN
Title or Position: DOCTOR
Credential: DC
Phone: 972-285-3232