Heaton, Brian G.

Heaton, Brian G. is an individual health care provider with primary practice located at 9025 Chevrolet Dr Suite D, Ellicott City MD 21042-4017. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Heaton, Brian G. can be contacted via phone (410) 750-2540.

Contact Information

Primary practice address
9025 Chevrolet Dr Suite D Ellicott City MD 21042-4017
Phone: (410) 750-2540
Fax: (410) 750-2541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 1467PT Maryland

Profile Details

NPI number 1982734836
LBN Legal business name Heaton, Brian G.
Credentials D.C., DACBN, CCN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jan 28th, 2013 - about 11 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 1982734836 NPPES
Maryland Other 52122801 MD CAREFIRST LOCAL #
Maryland Other 52122803 MD CAREFIRST LOCAL #
Maryland Other M312HE MD CAREFIRST LOCAL #
Maryland Other Y921-0001 MD CAREFIRST LOCAL #

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