Provider Demographics
NPI:1477618494
Name:HEFFLINGER, RHONDA ANN (DC)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:ANN
Last Name:HEFFLINGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:ANN
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:119A N KINGSHIGHWAY
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-1634
Mailing Address - Country:US
Mailing Address - Phone:636-724-4884
Mailing Address - Fax:636-724-4884
Practice Address - Street 1:119A N KINGSHIGHWAY
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-1634
Practice Address - Country:US
Practice Address - Phone:636-724-4884
Practice Address - Fax:636-724-4884
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE004921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO8310OtherBLUE CROSS BLUE SHIELD
MO8310OtherBLUE CROSS BLUE SHIELD