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NPI Code Detail

MEDICARE: MRS. AMY LYNN HEGGEMANN D.C.

MEDICARE: MRS. AMY LYNN HEGGEMANN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NX0800XOrthopedic Chiropractor2006023222MO

General Provider Information

NPI Number : 1003929951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY LYNN HEGGEMANN D.C.
Provider Business Mailing Address
First Line : 18446 SELLENSCHUTTER HOLLOW RD.
Second Line :
City : MARTHASVILLE
State : MO
Zip : 63357-2923
Country : US
Telephone Number : 636-932-4003
Fax Number : 636-932-4003
Provider Business Practice Location Address
First Line : 1023 MAIN PLAZA DRIVE
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-1170
Country : US
Telephone Number : 636-639-8944
Fax Number : 636-639-8922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 07/08/2007

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