Organization
HEINEN CHIROPRACTIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SCOTT HEINEN D.C. (PRESIDENT)
(920) 451-9960
Entity
Organization
Contact information
Practice address
2103 INDIANA AVE STE 1A, SHEBOYGAN, WI 53081-4729
(920) 451-9960
(920) 451-9965
Mailing address
2103 INDIANA AVE STE 1A, SHEBOYGAN, WI 53081-4729
(920) 451-9960
(920) 451-9965
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38927500
—
WI
Enumeration date
02/07/2007
Last updated
08/22/2020
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