Heaton, Alyssa Nicole

Heaton, Alyssa Nicole is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Heaton, Alyssa Nicole can be contacted via phone (719) 365-5000.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909-5533
Phone: (719) 365-5000
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 182928 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0055387 Colorado

Profile Details

NPI number 1164783536
LBN Legal business name Heaton, Alyssa Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2012
Last updated Aug 27th, 2015 - about 10 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 1164783536 NPPES
Colorado MEDICAID 86103008

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