Individual
DR. DONNA KATHREEN HEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
241 COMMERCIAL ST, WHALERS WHARF, PROVINCETOWN, MA 02657-2102
(508) 487-3799
(508) 487-3799
Mailing address
160 KENWOOD AVE, SYRACUSE, NY 13208
(315) 663-1939
(315) 663-1939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3539
NY
111N00000X
Chiropractor
770
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y35577
BCBS OF MA
MA
Enumeration date
12/21/2006
Last updated
03/10/2022
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