Provider Demographics
NPI:1316939317
Name:HEILAND, STEVEN K (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:K
Last Name:HEILAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7347 MEXICO RD
Mailing Address - Street 2:STE 200
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1393
Mailing Address - Country:US
Mailing Address - Phone:636-970-2700
Mailing Address - Fax:
Practice Address - Street 1:7421 MEXICO RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ST PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1369
Practice Address - Country:US
Practice Address - Phone:636-970-2700
Practice Address - Fax:636-970-2738
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2016-08-23
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
MO006028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000032256Medicare ID - Type Unspecified
MOU33081Medicare UPIN