Provider Demographics
NPI:1982665105
Name:STEVEN K HEILAND D.C., P.C.
Entity Type:Organization
Organization Name:STEVEN K HEILAND D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HEILAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-970-2700
Mailing Address - Street 1:7421 MEXICO RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ST PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1369
Mailing Address - Country:US
Mailing Address - Phone:636-970-2700
Mailing Address - Fax:636-970-2738
Practice Address - Street 1:7421 MEXICO RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ST PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1369
Practice Address - Country:US
Practice Address - Phone:636-970-2700
Practice Address - Fax:636-970-2738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE006028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOU33081Medicare UPIN