Provider Demographics
NPI:1104089010
Name:HEBER, HONEY LOU (DC)
Entity type:Individual
Prefix:DR
First Name:HONEY
Middle Name:LOU
Last Name:HEBER
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 1:324 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:WAPELLO
Mailing Address - State:IA
Mailing Address - Zip Code:52653-1223
Mailing Address - Country:US
Mailing Address - Phone:319-523-3400
Mailing Address - Fax:319-523-3400
Practice Address - Street 1:324 VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:WAPELLO
Practice Address - State:IA
Practice Address - Zip Code:52653-1223
Practice Address - Country:US
Practice Address - Phone:319-523-3400
Practice Address - Fax:319-523-3400
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA4769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor