Provider Demographics
NPI:1467560458
Name:ROSENBERG, HEATHER D (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:D
Last Name:ROSENBERG
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 1:901 SUNRISE AVE
Mailing Address - Street 2:STE. B-3
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4519
Mailing Address - Country:US
Mailing Address - Phone:916-786-3737
Mailing Address - Fax:916-786-3757
Practice Address - Street 1:901 SUNRISE AVE
Practice Address - Street 2:STE. B-3
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4519
Practice Address - Country:US
Practice Address - Phone:916-786-3737
Practice Address - Fax:916-786-3757
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor