Provider Demographics
NPI:1164720728
Name:LEDFORD, HEATHER L (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:L
Last Name:LEDFORD
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 1:1685 E UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5225
Mailing Address - Country:US
Mailing Address - Phone:334-703-9281
Mailing Address - Fax:866-929-4872
Practice Address - Street 1:1685 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5225
Practice Address - Country:US
Practice Address - Phone:334-703-9281
Practice Address - Fax:866-929-4872
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2329111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51115714OtherBLUE CROSS/ BLUE SHIELD
AL51115714OtherBLUE CROSS/ BLUE SHIELD