Heagney, Michael C
Heagney, Michael C is an sole proprietor health care provider with primary practice located at 4550 Grassy Point Blvd , Port Charlotte FL 33952-9179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Heagney, Michael C can be contacted via phone (941) 624-5634.Contact Information
Primary practice address
4550 Grassy Point Blvd
Port Charlotte FL 33952-9179
Phone: (941) 624-5634
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME45251 | Florida |
Profile Details
| NPI number | 1619994456 |
|---|---|
| LBN Legal business name | Heagney, Michael C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jun 2nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619994456 | NPPES |
| Florida | MEDICAID | 046236500 |
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