Provider Demographics
NPI:1154396653
Name:HEFFRON-MCGREAL, SHEILA M (DC)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:M
Last Name:HEFFRON-MCGREAL
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 1:401 N ANN ARBOR ST STE C
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1196
Mailing Address - Country:US
Mailing Address - Phone:734-787-5295
Mailing Address - Fax:
Practice Address - Street 1:401 N ANN ARBOR ST STE C
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1196
Practice Address - Country:US
Practice Address - Phone:734-787-5295
Practice Address - Fax:734-429-8160
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009972111N00000X
IAA05700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1119487Medicaid
IA244543OtherMIDLANDS CHOICE #
IA55855OtherBC/BS #
IA20671Medicare ID - Type UnspecifiedMEDICARE #