Provider Demographics
NPI:1336206622
Name:HECKEL, WESLEY D (DC)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:D
Last Name:HECKEL
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 1:6809 S MINNESOTA AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2570
Mailing Address - Country:US
Mailing Address - Phone:605-274-7484
Mailing Address - Fax:605-274-7486
Practice Address - Street 1:6809 S MINNESOTA AVE
Practice Address - Street 2:STE 102
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2570
Practice Address - Country:US
Practice Address - Phone:605-274-7484
Practice Address - Fax:605-274-7486
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor