Macadam, Heather Lynn

Macadam, Heather Lynn is an individual health care provider with primary practice located at 4100 S Ferdon Blvd Ste C5 , Crestview FL 32536-5287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Macadam, Heather Lynn can be contacted via phone (850) 682-1164.

Contact Information

Primary practice address
4100 S Ferdon Blvd Ste C5 Crestview FL 32536-5287
Phone: (850) 682-1164
Fax: (850) 682-5302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 102536 Florida

Profile Details

NPI number 1023253580
LBN Legal business name Macadam, Heather Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Dec 15th, 2014 - about 12 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 1023253580 NPPES
Florida MEDICAID 005799600

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