Heaton, Douglas

Heaton, Douglas is an individual health care provider with primary practice located at 3917 Broadway St , Mount Vernon IL 62864-2205. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Heaton, Douglas can be contacted via phone (618) 242-1120.

Contact Information

Primary practice address
3917 Broadway St Mount Vernon IL 62864-2205
Phone: (618) 242-1120
Fax: (618) 242-4171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2627 Illinois

Profile Details

NPI number 1306077995
LBN Legal business name Heaton, Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2009
Last updated Jul 31st, 2009 - about 16 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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