Heffernan, Margaret M
Heffernan, Margaret M is an individual health care provider with primary practice located at 927 S 8Th St Ste 307A, Manitowoc WI 54220-4542. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heffernan, Margaret M can be contacted via phone (920) 683-2090.Contact Information
Primary practice address
927 S 8Th St Ste 307A
Manitowoc WI 54220-4542
Phone: (920) 683-2090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 267EUW | Wisconsin |
Profile Details
| NPI number | 1427064922 |
|---|---|
| LBN Legal business name | Heffernan, Margaret M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 13th, 2016 - about 9 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 | 1427064922 | NPPES |
| Wisconsin | MEDICAID | 39146900 |
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