Heffernan, John T.
Heffernan, John T. is an individual health care provider with primary practice located at 502 S M St , Tacoma WA 98405-3728. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Heffernan, John T. can be contacted via phone (206) 212-2100.Contact Information
Primary practice address
502 S M St
Tacoma WA 98405-3728
Phone: (206) 212-2100
Fax: (206) 212-2194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | MD00016843 | Washington |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD00016843 | Washington |
Profile Details
| NPI number | 1093791121 |
|---|---|
| LBN Legal business name | Heffernan, John T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jan 3rd, 2024 - about last year |
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 | 1093791121 | NPPES |
| Other | 3862HE | REGENCE HEALTHCARE | |
| MEDICAID | 1777200 | REGENCE HEALTHCARE | |
| Other | 180016727 | REGENCE HEALTHCARE | |
| Other | 0036104 | REGENCE HEALTHCARE |
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