MEDICARE: DR. DANIEL LEE HECKER DC

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	B01400	NV

General Provider Information

NPI Number	:	1932143096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL LEE HECKER DC

Provider Business Mailing Address
First Line	:	55 S VALLE VERDE DR
Second Line	:	SUITE 235
City	:	HENDERSON
State	:	NV
Zip	:	89012-3433
Country	:	US
Telephone Number	:	702-565-4673
Fax Number	:	702-565-4680

Provider Business Practice Location Address
First Line	:	55 S VALLE VERDE DR
Second Line	:	SUITE 235
City	:	HENDERSON
State	:	NV
Zip	:	89012-3433
Country	:	US
Telephone Number	:	702-565-4673
Fax Number	:	702-565-4680

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	02/10/2013

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