Provider Demographics
NPI:1336251776
Name:STEFFES, HEATHER CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:CHRISTINE
Last Name:STEFFES
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:W6177 NEUBERT RD
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-7988
Mailing Address - Country:US
Mailing Address - Phone:920-757-1600
Mailing Address - Fax:920-757-1717
Practice Address - Street 1:W6177 NEUBERT RD
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-7988
Practice Address - Country:US
Practice Address - Phone:920-757-1600
Practice Address - Fax:920-757-1717
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3875-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38943500Medicaid
WI38943500Medicaid
WIV04219Medicare UPIN