Provider Demographics
NPI:1922007640
Name:HELLER, JEFFREY JAMES (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:JAMES
Last Name:HELLER
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 1:2908 78TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4452
Mailing Address - Country:US
Mailing Address - Phone:515-278-1651
Mailing Address - Fax:
Practice Address - Street 1:2925 INGERSOLL AVE
Practice Address - Street 2:STE 2
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-4052
Practice Address - Country:US
Practice Address - Phone:515-277-2925
Practice Address - Fax:515-274-8732
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor