Provider Demographics
NPI:1477017499
Name:HEATHER DEHN CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:HEATHER DEHN CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DEHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-488-0202
Mailing Address - Street 1:4343 MARCONI AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-4300
Mailing Address - Country:US
Mailing Address - Phone:916-488-0202
Mailing Address - Fax:916-488-0242
Practice Address - Street 1:4343 MARCONI AVE STE 5
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4300
Practice Address - Country:US
Practice Address - Phone:916-488-0202
Practice Address - Fax:916-488-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty