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11378 Chase St, Trempealeau, WI 54661-9240 | |
(608) 534-6090 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 11378 Chase St, Trempealeau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154405504 | NPI | - | NPPES |
4249-012 | Other | WI | WI LICENSE |
1700986411 | Other | WI | INDIVIDUAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4249-012 (Wisconsin) | Primary |
Provider Name | David J Heiden |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1700986411 PECOS PAC ID: 2961409198 Enrollment ID: I20061101000437 |
Mailing Address | Practice Location Address |
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11378 Chase St, Trempealeau, WI 54661-9240 Ph: (608) 534-6090 | 11378 Chase St, Trempealeau, WI 54661-9240 Ph: (608) 534-6090 |
Dr. David James Heiden, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11378 Chase St, Trempealeau, WI 54661 Phone: 608-534-6090 |