Provider Demographics
NPI:1740413004
Name:HEILMAN, STEPHEN TRAVERS (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:TRAVERS
Last Name:HEILMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 W EL NORTE PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-2528
Mailing Address - Country:US
Mailing Address - Phone:760-480-4480
Mailing Address - Fax:760-546-0417
Practice Address - Street 1:245 W EL NORTE PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-2528
Practice Address - Country:US
Practice Address - Phone:760-480-4480
Practice Address - Fax:760-546-0417
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 26401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor