| |
410 E Jefferson St, Corydon, IA 50060-1530 | |
(641) 872-2435 | |
(641) 872-2438 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 410 E Jefferson St, Corydon, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336320019 | NPI | - | NPPES |
0400529 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 06377 (Iowa) | Primary |
Provider Name | Patrick S Heffron |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1669444014 PECOS PAC ID: 8325018179 Enrollment ID: I20040728001577 |
Mailing Address | Practice Location Address |
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410 E Jefferson St, Corydon, IA 50060-1530 Ph: (641) 872-2435 | 410 E Jefferson St, Corydon, IA 50060-1530 Ph: (641) 872-2435 |
Patrick S Heffron, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 410 E Jefferson St, Corydon, IA 50060 Phone: 641-872-2435 Fax: 641-872-2438 |