Heffernan, Thomas M

Heffernan, Thomas M is an individual health care provider with primary practice located at 1 Elliot Way Emergency Department, Manchester NH 03103-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Heffernan, Thomas M can be contacted via phone (603) 663-2830.

Contact Information

Primary practice address
1 Elliot Way Emergency Department Manchester NH 03103-3502
Phone: (603) 663-2830
Fax: (603) 663-1849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9398 New Hampshire

Profile Details

NPI number 1902840085
LBN Legal business name Heffernan, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902840085 NPPES
New Hampshire MEDICAID 30204064
New Hampshire Other B98157
New Hampshire Other 0107930Y0NH03

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