Organization
HEFFERNAN CHIROPRACTIC CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PETER HEFFERNAN (PRESIDENT)
(262) 549-4555
Entity
Organization
Contact information
Practice address
1800 E MAIN ST STE 300, WAUKESHA, WI 53186-3984
(262) 549-4555
(262) 549-9750
Mailing address
1800 E MAIN ST STE 300, WAUKESHA, WI 53186-3984
(262) 549-4555
(262) 549-9750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1326-012
WI
111N00000X
Chiropractor
3874-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38181900
—
WI
05
—
38828400
—
WI
Enumeration date
02/13/2007
Last updated
04/28/2025
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