Hetherington, Richard G

Hetherington, Richard G is an individual health care provider with primary practice located at 1850 Town Center Pkwy Resotn Hospital Center, Reston VA 20190-3219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hetherington, Richard G can be contacted via phone (703) 471-0919.

Contact Information

Primary practice address
1850 Town Center Pkwy Resotn Hospital Center Reston VA 20190-3219
Phone: (703) 471-0919
Fax: (703) 741-9081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0102036876 Virginia

Profile Details

NPI number 1245216555
LBN Legal business name Hetherington, Richard G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Apr 24th, 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 1245216555 NPPES
Virginia MEDICAID 005707986
Virginia Other 173386

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