Heffernan, Brittany Leigh
Heffernan, Brittany Leigh is an individual health care provider with primary practice located at 12165 Elm Street , Princess Anne MD 21853. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Heffernan, Brittany Leigh can be contacted via phone (410) 651-5151.Contact Information
Primary practice address
12165 Elm Street
Princess Anne MD 21853
Phone: (410) 651-5151
Fax: (410) 651-4256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | LL677 | Maryland |
Profile Details
| NPI number | 1659798759 |
|---|---|
| LBN Legal business name | Heffernan, Brittany Leigh |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2014 |
| Last updated | Mar 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659798759 | NPPES |
| Maryland | MEDICAID | 119591300 |
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