Provider Demographics
NPI:1710451075
Name:HECK, ERIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:HECK
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 1:412 RED HILL AVE
Mailing Address - Street 2:STE 11
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-2469
Mailing Address - Country:US
Mailing Address - Phone:415-482-8282
Mailing Address - Fax:415-482-8280
Practice Address - Street 1:412 RED HILL AVE STE 11
Practice Address - Street 2:
Practice Address - City:SAN ANSELMO
Practice Address - State:CA
Practice Address - Zip Code:94960-2469
Practice Address - Country:US
Practice Address - Phone:415-444-6965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2019-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor