Heffernan, J Michael

Heffernan, J Michael is an individual health care provider with primary practice located at 950 N Wyomissing Blvd Suite A, Wyomissing PA 19610-1784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Heffernan, J Michael can be contacted via phone (610) 898-2400.

Contact Information

Primary practice address
950 N Wyomissing Blvd Suite A Wyomissing PA 19610-1784
Phone: (610) 898-2400
Fax: (610) 376-5861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD030004E Pennsylvania

Profile Details

NPI number 1700854957
LBN Legal business name Heffernan, J Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 19th, 2011 - about 13 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 1700854957 NPPES
Pennsylvania MEDICAID 0011482470001

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