Healthcare Provider Details

I. General information

NPI: 1821158718
Provider Name (Legal Business Name): BRENT A HEYN, D.C. & WINDY D. HEYN, D.C., PTRS.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 12/01/2015
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 Number
License Number State

VIII. Authorized Official

Name: DR. WINDY DAWN HEYN
Title or Position: PARTNER
Credential: D.C.
Phone: 802-372-5800