Heffer, Lance R

Heffer, Lance R is an individual health care provider with primary practice located at 1311 N Dixie Hwy , Elizabethtown KY 42701-2621. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heffer, Lance R can be contacted via phone (270) 769-1304.

Contact Information

Primary practice address
1311 N Dixie Hwy Elizabethtown KY 42701-2621
Phone: (270) 769-1304
Fax: (270) 234-8028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0643 Kentucky

Profile Details

NPI number 1215989082
LBN Legal business name Heffer, Lance R
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 29th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215989082 NPPES
Kentucky Other 378700 TRICARE
Kentucky MEDICAID 30605018 TRICARE
Kentucky Other 000000393575 TRICARE

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