Provider Demographics
NPI:1124152897
Name:BENCSIK, HEIDI BETH (DC)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:BETH
Last Name:BENCSIK
Suffix:
Gender:F
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:PO BOX 1133
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-0038
Mailing Address - Country:US
Mailing Address - Phone:215-692-2438
Mailing Address - Fax:866-878-4218
Practice Address - Street 1:148 E STATE ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4313
Practice Address - Country:US
Practice Address - Phone:215-692-2438
Practice Address - Fax:866-878-4218
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009737111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor