Individual
DR. JOSEPH PETER HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1820 E MAIN ST, WAUKESHA, WI 53186-3902
(262) 549-4555
(262) 549-9750
Mailing address
N24W30460 CRYSTAL SPRINGS DR, PEWAUKEE, WI 53072-4275
(262) 369-9939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1326
WI
111NN1001X
Nutrition Chiropractor
1326
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391628775
TAX I. D. NUMBER
WI
Enumeration date
09/13/2006
Last updated
07/28/2010
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