Heaton, Kevin D
Heaton, Kevin D is an individual health care provider with primary practice located at 62 Brown St Ste 303 , Haverhill MA 01830-6790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Heaton, Kevin D can be contacted via phone (978) 794-1946.Contact Information
Primary practice address
62 Brown St Ste 303
Haverhill MA 01830-6790
Phone: (978) 794-1946
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 245591 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15345 | New Hampshire |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 15345 | New Hampshire |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 245591 | Massachusetts |
Profile Details
| NPI number | 1225202237 |
|---|---|
| LBN Legal business name | Heaton, Kevin D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Jun 18th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225202237 | NPPES |
| New Hampshire | MEDICAID | 3077761 |
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