Individual
PATRICK S HEFFRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
410 E JEFFERSON ST, CORYDON, IA 50060-1530
(641) 872-2435
(641) 872-2438
Mailing address
410 E JEFFERSON ST, CORYDON, IA 50060-1530
(641) 872-2435
(641) 872-2438
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
063776
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1226456
—
IA
01
—
25268
BCBS NUMBER
IA
01
—
P00109484
RR MEDICARE NUMBER
IA
Enumeration date
02/01/2006
Last updated
11/21/2007
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