Heacox, Edward
Heacox, Edward is an sole proprietor health care provider with primary practice located at 99 S Canaan Rd , Canaan CT 06018-2502. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Heacox, Edward can be contacted via phone (860) 824-3822.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PCT.0006283 | Connecticut |
Profile Details
| NPI number | 1982107199 |
|---|---|
| LBN Legal business name | Heacox, Edward |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2018 |
| Last updated | Mar 14th, 2018 - about 6 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 | 1982107199 | NPPES |
| Connecticut | Other | 022756516 | DRIVERS LICENSE |
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