Heffron, Mark Steven

Heffron, Mark Steven is an sole proprietor health care provider with primary practice located at 8003 211Th St , Queens Village NY 11427-1012. He recently has only one registered license in Chiropractic Providers / Radiology, which is considered as his primary health care specialty. Heffron, Mark Steven can be contacted via phone (718) 464-8948.

Contact Information

Primary practice address
8003 211Th St Queens Village NY 11427-1012
Fax: (718) 740-0319
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Radiology 111NR0200X X002652 New York

Profile Details

NPI number 1629153036
LBN Legal business name Heffron, Mark Steven
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 17th, 2008 - about 16 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 1629153036 NPPES
New York Other 11-2847332 TAX ID
New York Other 0079854 TAX ID

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