Heavner, Robert Randal

Heavner, Robert Randal is an individual health care provider with primary practice located at 1212 Garfield Ave Ste 202 , Parkersburg WV 26101-3247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Heavner, Robert Randal can be contacted via phone (304) 865-3611.

Contact Information

Primary practice address
1212 Garfield Ave Ste 202 Parkersburg WV 26101-3247
Phone: (304) 865-3611
Fax: (302) 577-2169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.058410 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15128 West Virginia

Profile Details

NPI number 1427051390
LBN Legal business name Heavner, Robert Randal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 1st, 2024 - about 2 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 1427051390 NPPES
Ohio MEDICAID 0815158
Ohio MEDICAID 0052632000

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