Provider Demographics
NPI:1225334394
Name:HEUS, EDYTHE M (DC)
Entity Type:Individual
Prefix:DR
First Name:EDYTHE
Middle Name:M
Last Name:HEUS
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 1:33004 CHRISTINA DR
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-1040
Mailing Address - Country:US
Mailing Address - Phone:949-429-2247
Mailing Address - Fax:949-429-1643
Practice Address - Street 1:33004 CHRISTINA DR
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-1040
Practice Address - Country:US
Practice Address - Phone:949-429-2247
Practice Address - Fax:949-429-1643
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-26403111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor