Healthcare Provider Details

I. General information

NPI: 1083786859
Provider Name (Legal Business Name): JAMIE HEIMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE HOLLIS-HEIMEN

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 DEWEY ST
MANITOWOC WI
54220-5813
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 920-686-5732
  • Fax: 920-686-5726
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7455
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3816-012
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: