Provider Demographics
NPI:1295734572
Name:HEFLIN, DEBORA L (DC)
Entity type:Individual
Prefix:MS
First Name:DEBORA
Middle Name:L
Last Name:HEFLIN
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 1:4016 TRIANGLE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-2828
Mailing Address - Country:US
Mailing Address - Phone:704-392-1338
Mailing Address - Fax:704-392-8156
Practice Address - Street 1:4016 TRIANGLE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-2828
Practice Address - Country:US
Practice Address - Phone:704-392-1338
Practice Address - Fax:704-392-8156
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890828MMedicaid
NCU58359Medicare UPIN
NC890828MMedicaid