Heffernan, Matthew
Heffernan, Matthew is an individual health care provider with primary practice located at 775 Norman Dr , Lebanon PA 17042-7497. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Heffernan, Matthew can be contacted via phone (717) 274-5500.Contact Information
Primary practice address
775 Norman Dr
Lebanon PA 17042-7497
Phone: (717) 274-5500
Fax: (717) 274-5189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS019593 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OS019593 | Pennsylvania |
Profile Details
| NPI number | 1033646955 |
|---|---|
| LBN Legal business name | Heffernan, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2017 |
| Last updated | Jul 6th, 2023 - about 3 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 | 1033646955 | NPPES |
| Pennsylvania | MEDICAID | 390200000X | |
| Pennsylvania | MEDICAID | 103359655 |
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