Provider Demographics
NPI:1841571023
Name:HEIM CHIRO LLC
Entity Type:Organization
Organization Name:HEIM CHIRO LLC
Other - Org Name:ADIO CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEILL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-320-7756
Mailing Address - Street 1:587 US HIGHWAY 41 BYP N
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-6040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:587 US HIGHWAY 41 BYP N
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-6040
Practice Address - Country:US
Practice Address - Phone:941-320-7756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10349111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty