Mark Russell Heston in Weaverville - Chiropractor

Mark Russell Heston - NPI 1063540417

Mark Russell Heston is a Chiropractor in Weaverville, California. Mark Russell Heston practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark Russell Heston is 1063540417. The last update date is 2007-07-08.

Mark Russell Heston's current location address is Po Box 1503, Weaverville, California. You can contact this provider via phone number 5306232225 and fax number 5306232553. The mailing address for Mark Russell Heston is Po Box 1503, Weaverville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Russell Heston
Address Po Box 1503, Weaverville, California
Phone Number 5306232225
Fax Number 5306232553
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1063540417
Provider Enumeration Date 2007-02-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1503
City Weaverville
State California (CA)
Post Code 960931503
Phone Number 5306232225
Fax Number 5306232553

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC0228590
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Mark Russell Heston

What is the unique provider identifier assigned to Mark Russell Heston?

The Mark Russell Heston has been issued the NPI (National Provider Identifier) 1063540417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Mark Russell Heston's physical address?

The Mark Russell Heston is physically located at Po Box 1503, in the city of Weaverville, CA, with the postal code 960931503.

What is the area of specialization for Mark Russell Heston, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mark Russell Heston is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

On what date did Mark Russell Heston receive its 1063540417 assignment from the Centers for Medicare & Medicaid Services?

The Mark Russell Heston was assigned its 1063540417 on 2007-02-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Mark Russell Heston most recently updated or revised?

The information pertaining to Mark Russell Heston, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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