Heffernon, Jeffrey J.

Heffernon, Jeffrey J. is an individual health care provider with primary practice located at 1325 Cottonwood St , Woodland CA 95695-5131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Heffernon, Jeffrey J. can be contacted via phone (530) 669-2800.

Contact Information

Primary practice address
1325 Cottonwood St Woodland CA 95695-5131
Phone: (530) 669-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35698 Wisconsin

Profile Details

NPI number 1174625131
LBN Legal business name Heffernon, Jeffrey J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Oct 20th, 2011 - about 14 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 1174625131 NPPES
Wisconsin MEDICAID 32063200

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