Provider Demographics
NPI:1285726414
Name:HEYN, WINDY DAWN (DC)
Entity type:Individual
Prefix:DR
First Name:WINDY
Middle Name:DAWN
Last Name:HEYN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:WINDY
Other - Middle Name:DAWN
Other - Last Name:MARKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:8 FERRY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH HERO
Mailing Address - State:VT
Mailing Address - Zip Code:05486-4400
Mailing Address - Country:US
Mailing Address - Phone:802-372-5800
Mailing Address - Fax:802-372-5800
Practice Address - Street 1:8 FERRY RD
Practice Address - Street 2:
Practice Address - City:SOUTH HERO
Practice Address - State:VT
Practice Address - Zip Code:05486-4400
Practice Address - Country:US
Practice Address - Phone:802-372-5800
Practice Address - Fax:802-372-5800
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0001139111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT731716145OtherCBA ID #
VT68300OtherBC/BS ID #
VT5464902OtherCIGNA ID #
VT1010947Medicaid
VT3736786OtherAETNA ID #
VT5464902OtherCIGNA ID #