Heaston, Dale D
Heaston, Dale D is an individual health care provider with primary practice located at 1321 Aaron Dr , Richland WA 99352-4678. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Heaston, Dale D can be contacted via phone (509) 943-3171.Contact Information
Primary practice address
1321 Aaron Dr
Richland WA 99352-4678
Phone: (509) 943-3171
Fax: (509) 946-0905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1129 | Washington |
Profile Details
| NPI number | 1003924374 |
|---|---|
| LBN Legal business name | Heaston, Dale D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1003924374 | NPPES |
| Other | 4100016629 | RAILROAD MEDICARE | |
| Other | HE6761 | RAILROAD MEDICARE | |
| Other | 11102 | RAILROAD MEDICARE | |
| Other | 0144211 | RAILROAD MEDICARE |
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