Heinen Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3643-012 Issued in WI

Legal business name

HEINEN CHIROPRACTIC, S.C.

Practice address

1539 N 33Rd PL
Suite B
Sheboygan, WI 53081-1826

Phone

(920) 451-9960

Fax

(920) 451-9965

NPI assigned

Sep 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wendee J Hauch

Title

Office Manager

Phone

(920) 452-9967

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

Heinen Chiropractic SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heinen Chiropractic, SC

  • Clinic/Center
  • Sheboygan, WI
  • NPI 1518007756
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth S Heinen, DC

  • Chiropractor
  • Sheboygan, WI
  • NPI 1417094368
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1295069433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 N 33RD PL",
            "address_2": "SUITE B",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811826",
            "telephone_number": "920-451-9960",
            "fax_number": "920-451-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 N 33RD PL",
            "address_2": "SUITE B",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811826",
            "telephone_number": "920-451-9960",
            "fax_number": "920-451-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINEN CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "HAUCH",
        "authorized_official_first_name": "WENDEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-452-9967"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3643-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38927500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthstat Onsite Clinic HSM Sheboygan
• Heavenly Grace Health Services LLC
• Mary Hegeman, LPC-IT
• Michael J Heili, M.D.
• Susan A Hein, MED APSW CADC III
• Heinen Chiropractic, SC
• Kenneth S Heinen, DC
• Craig L Heins, M.D.
• Kellie Marie Heitzkey, MS-CCC SLP
• Elizabeth Louise Heitzmann, MAC, LPC

• Chiropractor in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.