Provider Demographics
NPI:1457324519
Name:HEFFRON, WILLIAM A III (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:HEFFRON
Suffix:III
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 1:2808 WASHINGTON STREET
Mailing Address - Street 2:PO BOX 207
Mailing Address - City:UNIONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63565
Mailing Address - Country:US
Mailing Address - Phone:660-947-2929
Mailing Address - Fax:660-947-0099
Practice Address - Street 1:2808 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:MO
Practice Address - Zip Code:63565
Practice Address - Country:US
Practice Address - Phone:660-947-2929
Practice Address - Fax:660-947-0099
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1999134929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO428018OtherHEALTHLINK
MO131606OtherBCBS
MO208794092OtherCOMMERCIAL INSURANCE
MO350050826OtherRAILROAD MEDICARE
MO365235OtherCHOICE CARE
MO755313202Medicaid