Provider Demographics
NPI:1730118209
Name:ELTON, HEATHER ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:ANN
Last Name:ELTON
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 1:8421 AMBER HILL CT STE 2
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-6043
Mailing Address - Country:US
Mailing Address - Phone:402-489-8880
Mailing Address - Fax:402-489-8922
Practice Address - Street 1:8421 AMBER HILL CT STE 2
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-6043
Practice Address - Country:US
Practice Address - Phone:402-489-8880
Practice Address - Fax:402-489-8922
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47086878400Medicaid
NEU75633Medicare UPIN
NE47086878400Medicaid