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Individual

HEATHER JO EINCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
215 1ST ST NE, PRIMGHAR, IA 51245-1000
(712) 957-0102
(712) 957-0103
Mailing address
PO BOX 178, 215 FIRST STREET NE, PRIMGHAR, IA 51245-0178
(712) 957-0102
(712) 957-0103

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06532
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1280867
IA
01
238563
MIDLANDS CHOICE
01
28018
SIOUX VALLEY HEALTH PLAN
01
31576
BLUE CROSS BLUE SHIELD
IA
01
P00379564
RAILROAD MEDICARE
IA
Enumeration date
11/23/2005
Last updated
05/16/2008
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