Heffernon, Wanda

Heffernon, Wanda is an individual health care provider with primary practice located at 2360 Scout Rd , Oakland CA 94611-2724. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Heffernon, Wanda can be contacted via phone (415) 672-9861.

Contact Information

Primary practice address
2360 Scout Rd Oakland CA 94611-2724
Phone: (415) 672-9861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G81259 California

Profile Details

NPI number 1659753614
LBN Legal business name Heffernon, Wanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Jun 25th, 2015 - about 11 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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