MEDICARE: DR. CARL DAVID HEILMAN 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
1	111N00000X	Chiropractor	2179	OH

General Provider Information

NPI Number	:	1336140763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL DAVID HEILMAN D.C.

Provider Business Mailing Address
First Line	:	1833 FRANKLIN PARK S
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2219
Country	:	US
Telephone Number	:	419-499-3435
Fax Number	:	419-625-3967

Provider Business Practice Location Address
First Line	:	1833 FRANKLIN PARK S
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2219
Country	:	US
Telephone Number	:	419-499-3435
Fax Number	:	419-625-3967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	02/20/2013

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