Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 0101029290 | VA |
NPI | 1346323037 |
---|---|
Provider Name | Dr. Howard A Heit |
First Address | Fairfax, VA 22031-5207 |
Second Address | Fairfax, VA 22031-5207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C61726 | (02) | VA |