Provider Demographics
NPI:1770517203
Name:HELLER, MARGARET (DC)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:HELLER
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 1:520 TAMALPAIS DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1558
Mailing Address - Country:US
Mailing Address - Phone:415-927-3646
Mailing Address - Fax:415-924-6969
Practice Address - Street 1:520 TAMALPAIS DR
Practice Address - Street 2:SUITE 205
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1558
Practice Address - Country:US
Practice Address - Phone:415-927-3646
Practice Address - Fax:415-924-6969
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0146320Medicare ID - Type Unspecified
CAT05451Medicare UPIN