Provider Demographics
NPI:1114004470
Name:HEFFELFINGER, STEVE DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:DANIEL
Last Name:HEFFELFINGER
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 1:44130 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-3527
Mailing Address - Country:US
Mailing Address - Phone:661-948-5988
Mailing Address - Fax:661-948-6562
Practice Address - Street 1:44130 DIVISION ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-3527
Practice Address - Country:US
Practice Address - Phone:661-948-5988
Practice Address - Fax:661-948-6562
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU69636Medicare UPIN