Provider Demographics
NPI:1861798035
Name:HEINRICH, DAVE CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:DAVE
Middle Name:CHARLES
Last Name:HEINRICH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 ASHBURN LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-4185
Mailing Address - Country:US
Mailing Address - Phone:303-358-9734
Mailing Address - Fax:
Practice Address - Street 1:5600 W DARTMOUTH AVE
Practice Address - Street 2:#104
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-5546
Practice Address - Country:US
Practice Address - Phone:303-985-5557
Practice Address - Fax:303-985-2444
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor