Provider Demographics
NPI:1528329166
Name:HECKMANN, JOHN BRYCE (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BRYCE
Last Name:HECKMANN
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 1:1970 N CENTRAL EXPY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2908
Mailing Address - Country:US
Mailing Address - Phone:214-544-2886
Mailing Address - Fax:
Practice Address - Street 1:2456 SETTLERS ST
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-8370
Practice Address - Country:US
Practice Address - Phone:214-998-6296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11337111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor