Heavner, Pamela Gail

Heavner, Pamela Gail is an individual health care provider with primary practice located at 9291 Laurel Grove Rd , Mechanicsville VA 23116-2969. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Heavner, Pamela Gail can be contacted via phone (804) 559-7990.

Contact Information

Primary practice address
9291 Laurel Grove Rd Mechanicsville VA 23116-2969
Phone: (804) 559-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0019003993 Virginia

Profile Details

NPI number 1437796950
LBN Legal business name Heavner, Pamela Gail
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2019
Last updated Dec 3rd, 2019 - about 7 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 1437796950 NPPES
Virginia Other 0019003993 MEDICARE

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