Provider Demographics
NPI:1558790196
Name:APRAHAMIAN, HEIDI (DC)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:APRAHAMIAN
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 1:40484 COACHWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-3274
Mailing Address - Country:US
Mailing Address - Phone:734-536-4680
Mailing Address - Fax:248-924-2638
Practice Address - Street 1:40484 COACHWOOD CIR
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-3274
Practice Address - Country:US
Practice Address - Phone:734-536-4680
Practice Address - Fax:248-924-2638
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008169111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation