Heathcock, Robert Brian

Heathcock, Robert Brian is an individual health care provider with primary practice located at 533 S 336Th St Ste C, Federal Way WA 98003-6329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Heathcock, Robert Brian can be contacted via phone (253) 661-1700.

Contact Information

Primary practice address
533 S 336Th St Ste C Federal Way WA 98003-6329
Phone: (253) 661-1700
Fax: (253) 661-4565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00038814 Washington

Profile Details

NPI number 1548269137
LBN Legal business name Heathcock, Robert Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jan 27th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548269137 NPPES
Washington MEDICAID 8345498

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