Heller, Fred Dana
Heller, Fred Dana is an individual health care provider with primary practice located at 517 Caldwell Ave , Oconto Falls WI 54154-1139. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Heller, Fred Dana can be contacted via phone (920) 846-3778.Contact Information
Primary practice address
517 Caldwell Ave
Oconto Falls WI 54154-1139
Phone: (920) 846-3778
Fax: (920) 846-3877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3043-012 | Wisconsin |
Profile Details
| NPI number | 1164520623 |
|---|---|
| LBN Legal business name | Heller, Fred Dana |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Dec 17th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164520623 | NPPES |
| Wisconsin | MEDICAID | 38904000 |
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