Provider Demographics
NPI:1396812806
Name:HEANEY, MAGGY (DC)
Entity type:Individual
Prefix:MRS
First Name:MAGGY
Middle Name:
Last Name:HEANEY
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 1:28000 MEADOW DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-8395
Mailing Address - Country:US
Mailing Address - Phone:303-670-4600
Mailing Address - Fax:303-679-2968
Practice Address - Street 1:28000 MEADOW DR
Practice Address - Street 2:SUITE 7
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-8395
Practice Address - Country:US
Practice Address - Phone:303-670-4600
Practice Address - Fax:303-679-2968
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4376111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor