Provider Demographics
NPI:1548493687
Name:HEYLIGER, ERIK GEORGE (DC)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:GEORGE
Last Name:HEYLIGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 BEDFORD ST
Mailing Address - Street 2:1
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-1115
Mailing Address - Country:US
Mailing Address - Phone:203-295-3484
Mailing Address - Fax:203-295-3484
Practice Address - Street 1:810 BEDFORD ST
Practice Address - Street 2:1
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1115
Practice Address - Country:US
Practice Address - Phone:203-295-3484
Practice Address - Fax:203-295-3484
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor