Individual
DR. DONNA JO BACH-HEITNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
202 VINCENT DR, EAST MEADOW, NY 11554-2425
(516) 794-3600
(516) 794-3609
Mailing address
202 VINCENT DR, EAST MEADOW, NY 11554-2425
(516) 794-3600
(516) 794-3609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X3455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51568
VYTRA
—
01
—
C03455-5
WORKERS COMPENSATION
NY
01
—
P643908
OXFORD
—
01
—
X23771
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/16/2006
Last updated
07/08/2007
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