Heaton, Christopher R

Heaton, Christopher R is an individual health care provider with primary practice located at 8700 Sudley Rd , Manassas VA 20110-4418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Heaton, Christopher R can be contacted via phone (703) 396-5292.

Contact Information

Primary practice address
8700 Sudley Rd Manassas VA 20110-4418
Phone: (703) 396-5292
Fax: (703) 396-5297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101236961 Virginia

Profile Details

NPI number 1770588725
LBN Legal business name Heaton, Christopher R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Oct 25th, 2020 - about 4 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 1770588725 NPPES
Virginia MEDICAID 010103100

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