Individual
DR. FREDERICK WILLIAM HEIDRICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
52 KING ST, SACO, ME 04072-2822
(207) 284-2059
Mailing address
52 KING ST, SACO, ME 04072-2822
(207) 284-2059
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR957
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060450
ANTHEM BC/BS
ME
01
—
3262452
CIGNA
ME
Enumeration date
02/22/2006
Last updated
07/08/2007
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