Heaton, Caryl Joan

Heaton, Caryl Joan is an sole proprietor health care provider with primary practice located at 6 Mines Rd # E2 , Blue Hill ME 04614-6408. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Heaton, Caryl Joan can be contacted via phone (207) 266-9760.

Contact Information

Primary practice address
6 Mines Rd # E2 Blue Hill ME 04614-6408
Fax: (207) 910-6545
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X DO2653 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO2653 Maine

Profile Details

NPI number 1063500767
LBN Legal business name Heaton, Caryl Joan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jul 1st, 2024 - about 4 months 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 1063500767 NPPES
New Jersey MEDICAID 3744507

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