Provider Demographics
NPI:1437125788
Name:HEARTLAND CHIROPRACTIC ASSOCIATES LLP
Entity Type:Organization
Organization Name:HEARTLAND CHIROPRACTIC ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-232-1711
Mailing Address - Street 1:711 N SIOUX POINT RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5099
Mailing Address - Country:US
Mailing Address - Phone:605-232-1711
Mailing Address - Fax:605-232-2040
Practice Address - Street 1:3403 SINGING HILLS BLVD
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-5159
Practice Address - Country:US
Practice Address - Phone:712-258-2630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05826111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS7640Medicare PIN
IA59716Medicare PIN