Provider Demographics
NPI:1437264934
Name:YEAGER, HEIDI SUE (BS, DC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:SUE
Last Name:YEAGER
Suffix:
Gender:
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4456 SEEGER ST
Mailing Address - Street 2:
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-1417
Mailing Address - Country:US
Mailing Address - Phone:989-872-2737
Mailing Address - Fax:989-872-2740
Practice Address - Street 1:4456 SEEGER ST
Practice Address - Street 2:
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-1417
Practice Address - Country:US
Practice Address - Phone:989-872-2737
Practice Address - Fax:989-872-2740
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008811111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4899758Medicaid
MI4899758Medicaid
MIOP23600001Medicare ID - Type Unspecified