Healthcare Provider Details

I. General information

NPI: 1285726414
Provider Name (Legal Business Name): WINDY DAWN HEYN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WINDY DAWN MARKLAND D.C.

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 FERRY RD
SOUTH HERO VT
05486-4400
US

IV. Provider business mailing address

8 FERRY RD
SOUTH HERO VT
05486-4400
US

V. Phone/Fax

Practice location:
  • Phone: 802-372-5800
  • Fax: 802-372-5800
Mailing address:
  • Phone: 802-372-5800
  • Fax: 802-372-5800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number006-0001139
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: