Healthcare Provider Details

I. General information

NPI: 1720503170
Provider Name (Legal Business Name): HEPPE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 FREDERICK ST
FREDERICKSBURG VA
22401
US

IV. Provider business mailing address

311 FREDERICK ST
FREDERICKSBURG VA
22401-6025
US

V. Phone/Fax

Practice location:
  • Phone: 540-840-4144
  • Fax:
Mailing address:
  • Phone: 540-840-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104-557280
License Number StateVA

VIII. Authorized Official

Name: DR. ERICA GRACE HEPPE
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 540-840-4144