Provider Demographics
NPI:1902020365
Name:HEIKKINEN CHIROPRACTIC PC
Entity Type:Organization
Organization Name:HEIKKINEN CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HEIKKINEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-285-3232
Mailing Address - Street 1:820 E CARTWRIGHT RD STE 133
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-6063
Mailing Address - Country:US
Mailing Address - Phone:972-285-3232
Mailing Address - Fax:972-285-5993
Practice Address - Street 1:820 E CARTWRIGHT RD STE 133
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-6063
Practice Address - Country:US
Practice Address - Phone:972-285-3232
Practice Address - Fax:972-285-5993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4586111N00000X
TX11010111N00000X
TX4245111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82K732OtherBCBS
TX82K731OtherBCBS
TX8BT840OtherBCBS
TX82K732OtherBCBS
TX82K731OtherBCBS
TXU06296Medicare UPIN