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DR. JOEL HEER D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1649350455

Individual Registrant:
DR. JOEL  HEER D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
800 SPRING ST SUITE 203 GALENA, IL 61036-2003 US
Tel: 815-777-8977  Fax: --

Contact information for business:
800 SPRING ST SUITE 203 GALENA, IL 61036-2003 US
Tel: 815-777-8977  Fax: --

Registration Information:
NPI: 1649350455
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
IL038-005291

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TAX ID NUMBER39-1555400IL01
BLUE CROSS BLUE SHIELD ID4382002IL01




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