Anthony Carl Heaverlo, D.C.

Chiropractor · Prior Lake, MN

Individual Active NPI

NPI number 1376896431

Practice location

16670 Franklin Trl SE
Prior Lake, MN 55372-2924
Phone
(952) 447-5770
Fax
(952) 447-5780

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NPI record

NPI
1376896431
Entity type
Individual (Type 1)
Enumeration date
October 25, 2012
Last updated
October 25, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 5704 MN

About Dr. Heaverlo

Anthony Carl Heaverlo, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 16670 Franklin Trl SE, Prior Lake, MN 55372-2924. The NPI number 1376896431 was assigned on October 25, 2012 and the record was last updated on October 25, 2012.

Dr. Heaverlo lists a license in the registry: #5704 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anthony Carl Heaverlo, D.C.?

The NPI number is 1376896431.

What is the phone number of Dr. Heaverlo?

The phone number listed for the practice location is (952) 447-5770.

Where is Dr. Heaverlo located?

16670 Franklin Trl SE, Prior Lake, MN 55372-2924.

What is the taxonomy code for Dr. Heaverlo?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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