Provider Demographics
NPI:1942530597
Name:HEIEN, ERIC WAYNE (DC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:WAYNE
Last Name:HEIEN
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 1:607 PINNACLE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3422
Mailing Address - Country:US
Mailing Address - Phone:402-763-7615
Mailing Address - Fax:
Practice Address - Street 1:607 PINNACLE DR
Practice Address - Street 2:SUITE A
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3422
Practice Address - Country:US
Practice Address - Phone:402-592-2234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor