Heaney, Patrick
Heaney, Patrick is an sole proprietor health care provider with primary practice located at 186 Medical Village Dr , Newport VT 05855-8537. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Heaney, Patrick can be contacted via phone (802) 334-3520.Contact Information
Primary practice address
186 Medical Village Dr
Newport VT 05855-8537
Phone: (802) 334-3520
Fax: (802) 334-3512
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 055-0030775 | Vermont |
Profile Details
NPI number | 1174626089 |
---|---|
LBN Legal business name | Heaney, Patrick |
Credentials | PA/C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 6th, 2006 |
Last updated | Jul 8th, 2021 - 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 | 1174626089 | NPPES |
Vermont | Other | AP102301 | MEDICARE |
Vermont | MEDICAID | 9000297 | MEDICARE |
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