Hetzel, Robert Lowell

Hetzel, Robert Lowell is an individual health care provider with primary practice located at 224D Cornwall St Nw Suite 106, Leesburg VA 20176-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hetzel, Robert Lowell can be contacted via phone (703) 777-1612.

Contact Information

Primary practice address
224D Cornwall St Nw Suite 106 Leesburg VA 20176-2700
Phone: (703) 777-1612
Fax: (703) 777-2368
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101232586 Virginia

Profile Details

NPI number 1811980329
LBN Legal business name Hetzel, Robert Lowell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jan 9th, 2010 - about 14 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 1811980329 NPPES
Virginia MEDICAID 010105757
Virginia MEDICAID 010105706
Virginia MEDICAID 010105731
Virginia Other P00270260

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