Heffernan, John T.

Heffernan, John T. is an individual health care provider with primary practice located at 502 S M St , Tacoma WA 98405-3728. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Heffernan, John T. can be contacted via phone (206) 212-2100.

Contact Information

Primary practice address
502 S M St Tacoma WA 98405-3728
Phone: (206) 212-2100
Fax: (206) 212-2194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X MD00016843 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD00016843 Washington

Profile Details

NPI number 1093791121
LBN Legal business name Heffernan, John T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 3rd, 2024 - about 11 months 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 1093791121 NPPES
Other 3862HE REGENCE HEALTHCARE
MEDICAID 1777200 REGENCE HEALTHCARE
Other 180016727 REGENCE HEALTHCARE
Other 0036104 REGENCE HEALTHCARE

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