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Contact Information

JOHN T HEFFERNAN, MD
502 S M ST
TACOMA, WA98405-3728
 Phone: 206-212-2100
 Fax: 206-212-2194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JOHN T HEFFERNAN · (Male)

NPI Number 1093791121
Status Active
Credentials MD
Entity Individual
Enumeration date 12/20/2005
Last updated 01/03/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00016843
  • WA Medicaid 1777200
  • Other 180016727 RAILROAD MEDICARE
  • Other 3862HE REGENCE HEALTHCARE
  • WA Other 0036104 LABOR & INDUSTRIES
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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