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
Fax: (253) 582-1617
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972915627 NPPES
Washington MEDICAID 2154663

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