Heffernan, Andrew Tyler

Heffernan, Andrew Tyler is an sole proprietor health care provider with primary practice located at 115 Halton Village Cir , Greenville SC 29607-6825. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Heffernan, Andrew Tyler can be contacted via phone (229) 942-5646.

Contact Information

Primary practice address
115 Halton Village Cir Greenville SC 29607-6825
Phone: (229) 942-5646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 83652 South Carolina

Profile Details

NPI number 1851788749
LBN Legal business name Heffernan, Andrew Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2015
Last updated Jun 30th, 2020 - about 6 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 1851788749 NPPES
South Carolina Other 83652 SC PERMANENT LICENSE NUMBER

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