Provider Demographics
NPI:1104040476
Name:HEGLER, MIRIAM MILLICENT (DC)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:MILLICENT
Last Name:HEGLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 N. WATKINS RD.
Mailing Address - Street 2:
Mailing Address - City:WATKINS
Mailing Address - State:CO
Mailing Address - Zip Code:80137
Mailing Address - Country:US
Mailing Address - Phone:303-261-4181
Mailing Address - Fax:
Practice Address - Street 1:1707 N. WATKINS RD.
Practice Address - Street 2:
Practice Address - City:WATKINS
Practice Address - State:CO
Practice Address - Zip Code:80137
Practice Address - Country:US
Practice Address - Phone:303-261-4181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5330111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor