Heaberlin, Brian Kent
Heaberlin, Brian Kent is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 200 , West Columbia SC 29169-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Heaberlin, Brian Kent can be contacted via phone (803) 936-7530.Contact Information
Primary practice address
146 E Hospital Dr Ste 200
West Columbia SC 29169-4800
Phone: (803) 936-7530
Fax: (803) 936-7532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | TMP - 01602 | West Virginia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 52550 | South Carolina |
Profile Details
| NPI number | 1992730493 |
|---|---|
| LBN Legal business name | Heaberlin, Brian Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Nov 6th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992730493 | NPPES |
| West Virginia | MEDICAID | 3810005836 | |
| West Virginia | MEDICAID | 2442280 | |
| West Virginia | Other | P00335936 |
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