Heatherton, Brian Francis

Heatherton, Brian Francis is an individual health care provider with primary practice located at Psychiatric Associates Of Central Illinois 1124 S. Sixth Street, Springfield IL 62703. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Heatherton, Brian Francis can be contacted via phone (217) 523-3143.

Contact Information

Primary practice address
Psychiatric Associates Of Central Illinois 1124 S. Sixth Street Springfield IL 62703
Phone: (217) 523-3143
Fax: (217) 523-7695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.006614 Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 071006614 Illinois

Profile Details

NPI number 1235152901
LBN Legal business name Heatherton, Brian Francis
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 9th, 2022 - about 2 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 1235152901 NPPES
Other 05732028 BLUE CROSS BLUE SHIELD

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