Provider Demographics
NPI:1134162076
Name:ROOKS, HEATHER L (DC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:ROOKS
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 1:98 WILMINGTON W CHESTER PIKE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9029
Mailing Address - Country:US
Mailing Address - Phone:484-775-0550
Mailing Address - Fax:484-840-0100
Practice Address - Street 1:98 WILMINGTON W CHESTER PIKE
Practice Address - Street 2:SUITE 3
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9029
Practice Address - Country:US
Practice Address - Phone:484-775-0550
Practice Address - Fax:484-840-0100
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDE0563111N00000X
PADC010288111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG01748S01Medicare PIN
DEV02421Medicare UPIN