Heffernan, John Timothy
Heffernan, John Timothy is an individual health care provider with primary practice located at 7308 Bridgeport Way W Ste 201 , Lakewood WA 98499-8000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Heffernan, John Timothy can be contacted via phone (253) 582-7257.Contact Information
Primary practice address
7308 Bridgeport Way W Ste 201
Lakewood WA 98499-8000
Phone: (253) 582-7257
Fax: (253) 582-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD60968447 | Washington |
Profile Details
| NPI number | 1972915627 |
|---|---|
| LBN Legal business name | Heffernan, John Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2014 |
| Last updated | Aug 14th, 2020 - about 4 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 | 1972915627 | NPPES |
| Washington | MEDICAID | 2154663 |
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