Heffernan Enterprises Pllc | |
1527 Superior St Webster City IA 50595-2961 | |
(515) 832-3033 | |
Not Available |
Full Name | Heffernan Enterprises Pllc |
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Speciality | Clinic/Center |
Location | 1527 Superior St, Webster City, Iowa |
Authorized Official Name and Position | Kyle Martin Heffernan (VICE PRESIDENT) |
Authorized Official Contact | 5152930026 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heffernan Enterprises Pllc 902 1st St Webster City IA 50595-2002 Ph: (515) 293-0026 | Heffernan Enterprises Pllc 1527 Superior St Webster City IA 50595-2961 Ph: (515) 832-3033 |
NPI Number | 1417468281 |
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Provider Enumeration Date | 10/19/2017 |
Last Update Date | 10/19/2017 |
Medicare PECOS PAC ID | 9436416245 |
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Medicare Enrollment ID | O20171204002436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417468281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 072381 (Iowa) | Primary |
Provider Name | Kyle Martin Heffernan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871919530 PECOS PAC ID: 2365673878 Enrollment ID: I20140326002077 |
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