Provider Demographics
NPI:1720503170
Name:HEPPE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:HEPPE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:HEPPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-840-4144
Mailing Address - Street 1:311 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-6025
Mailing Address - Country:US
Mailing Address - Phone:540-840-4144
Mailing Address - Fax:
Practice Address - Street 1:311 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401
Practice Address - Country:US
Practice Address - Phone:540-840-4144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104-557280111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty