Provider Demographics
NPI:1144406489
Name:HEHN, STEVEN DEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DEAN
Last Name:HEHN
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 1:9160 LAPEER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-1743
Mailing Address - Country:US
Mailing Address - Phone:810-658-9098
Mailing Address - Fax:810-658-0453
Practice Address - Street 1:9160 LAPEER RD
Practice Address - Street 2:SUITE D
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-1743
Practice Address - Country:US
Practice Address - Phone:810-658-9098
Practice Address - Fax:810-658-0453
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISH005137111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM38720Medicare UPIN