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Individual

DR. BRIAN G. HEATON

Active
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Individual

DR. BRIAN G. HEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., DACBN, CCN

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1467PT
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52122801
MD CAREFIRST LOCAL #
MD
01
52122803
MD CAREFIRST LOCAL#TOWSON
MD
01
M312HE
MARYLAND CAREFIRST GROUP
MD
01
Y921-0001
CAREFIRST
MD
Enumeration date
03/07/2007
Last updated
01/28/2013
Update your record

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