David R Hepler II, DC

Individual provider Active NPI Chiropractor · Lincoln, IL

NPI 1861571663 · NPPES record last updated Mar 3, 2009

Key facts

NPI
1861571663
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
038004674 (IL)
Practice address
2000 Pulaski Street
Lincoln, IL 62656
Phone
(217) 735-4451
Fax
(217) 732-2445
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038004674 IL Yes

Addresses

Primary practice location

2000 Pulaski Street
Lincoln, IL 62656

Mailing address

PO Box 507
Lincoln, IL 62656
Phone (217) 735-4451

Other identifiers

IdentifierTypeStateIssuer
038004574MedicaidIL
5482006OtherILBCBS

Other providers in Lincoln, IL

All providers in Lincoln, IL · Chiropractor in Illinois

Sources for this page

Verify at the official NPI Registry.