Heaton, Debra A

Heaton, Debra A is an individual health care provider with primary practice located at 324 S Ocotillo Ave , Benson AZ 85602-6401. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Heaton, Debra A can be contacted via phone (520) 720-6122.

Contact Information

Primary practice address
324 S Ocotillo Ave Benson AZ 85602-6401
Phone: (520) 720-6122
Fax: (520) 720-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-1045 Arizona

Profile Details

NPI number 1982058012
LBN Legal business name Heaton, Debra A
Credentials LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2016
Last updated Apr 14th, 2016 - about 10 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 1982058012 NPPES
Arizona Other LISAC-1045 AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS

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