Hetherington, John J

Hetherington, John J is an individual health care provider with primary practice located at 177 W Cottonwood Ln Ste 7, Casa Grande AZ 85222-2552. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Hetherington, John J can be contacted via phone (520) 836-4618.

Contact Information

Primary practice address
177 W Cottonwood Ln Ste 7 Casa Grande AZ 85222-2552
Phone: (520) 836-4618
Fax: (520) 836-2650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X DA4090 Arizona

Profile Details

NPI number 1508869488
LBN Legal business name Hetherington, John J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508869488 NPPES
Arizona Other AZOO76260 BLUE CROSS/BLUE SHIELD
Arizona Other 133376 BLUE CROSS/BLUE SHIELD
Arizona Other 1Z2179 BLUE CROSS/BLUE SHIELD
Arizona MEDICAID 802117 BLUE CROSS/BLUE SHIELD

Popular Providers