Heffernan, Paul M.
Heffernan, Paul M. is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Heffernan, Paul M. can be contacted via phone (617) 665-3570.Contact Information
Primary practice address
1493 Cambridge St
Cambridge MA 02139-1047
Phone: (617) 665-3570
Fax: (617) 665-3598
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 1866 | Massachusetts |
Profile Details
NPI number | 1235247115 |
---|---|
LBN Legal business name | Heffernan, Paul M. |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1235247115 | NPPES |
Massachusetts | MEDICAID | 0362786 |
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