Individual provider · Type 1 NPI

Theodore Stanford Heggen V, DC

Chiropractor · West Des Moines, IA

NPI number 1093064255 Active

Practice location

4949 Pleasant St, Suite 101
West Des Moines, IA 50266-1741

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X007599 (IA)
Chiropractor 111N00000X12118 (TX)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1093064255

Theodore Stanford Heggen V, DC's National Provider Identifier is 1093064255, issued on Sep 4, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in West Des Moines, IA. The record was last updated on Apr 5, 2013.