HEFFERNAN CHIROPRACTIC CLINIC SC NPI 1720120868

NPI Information

  • NPI: 1720120868
  • Provider Name: HEFFERNAN CHIROPRACTIC CLINIC SC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1800 E MAIN ST STE 300
    WAUKESHA, WI
    ZIP 53186
  • Phone: (262) 549-4555

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NPI Details

HEFFERNAN CHIROPRACTIC CLINIC SC is a chiropractor in Waukesha, WI. The provider is 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. HEFFERNAN CHIROPRACTIC CLINIC SC NPI is 1720120868. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1800 E MAIN ST STE 300
WAUKESHA, WI
ZIP 53186-984
Phone: (262) 549-4555
Fax: (262) 549-9750

The provider's authorized official is Joseph Peter Heffernan .
The authorized official title is President and has the following contact phone number (262) 549-4555.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 4/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3874-012WISCONSINNo
2111N00000XChiropractor1326-012WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138828400MEDICAIDWISCONSIN
238181900MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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