Individual
MS. MARILYN JOAN HECKELBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.I.S.
Contact information
Practice address
614 WASHINGTON ST, SUITE 101, CHILLICOTHE, MO 64601-2251
(660) 646-7110
(660) 646-7110
Mailing address
614 WASHINGTON ST, SUITE 101, CHILLICOTHE, MO 64601-2251
(660) 646-7110
(660) 646-7110
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0725
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20958-01-9-SPEC-085
BLUE CROSS/ BLUE SHIELD I
MO
Enumeration date
09/22/2006
Last updated
07/09/2007
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