Provider Demographics
NPI:1063541944
Name:DWYER, HEATHER M (DC)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:M
Last Name:DWYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:43140-1440
Mailing Address - Country:US
Mailing Address - Phone:740-852-1965
Mailing Address - Fax:740-852-1966
Practice Address - Street 1:139 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-1440
Practice Address - Country:US
Practice Address - Phone:740-852-1965
Practice Address - Fax:740-852-1966
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor