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Contact Information

MARK HEBERTSON
401 WESTWOOD OFFICE PARK
FREDERICKSBURG, VA22401-5109
 Phone: 540-371-6196
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MARK HEBERTSON · (Male)

NPI Number 1639259591
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0401007320
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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