Individual
DR. MICHAEL HEITHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14297 BERGEN BLVD, SUITE 100, NOBLESVILLE, IN 46060-3382
(317) 674-8800
Mailing address
14297 BERGEN BLVD, SUITE 100, NOBLESVILLE, IN 46060-3382
(317) 674-8800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002642A
IN
111NR0400X
Rehabilitation Chiropractor
Primary
038012321
IL
111NR0400X
Rehabilitation Chiropractor
08002642A
IN
Other
Enumeration date
03/09/2012
Last updated
02/26/2016
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