Ferrell, Herman L

Ferrell, Herman L is an individual health care provider with primary practice located at 129 N 8Th St , East St Louis IL 62201-2917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ferrell, Herman L can be contacted via phone (618) 482-7242.

Contact Information

Primary practice address
129 N 8Th St East St Louis IL 62201-2917
Phone: (618) 482-7242
Fax: (314) 810-1399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036074327 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R7303 Missouri

Profile Details

NPI number 1437153921
LBN Legal business name Ferrell, Herman L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 29th, 2009 - 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 1437153921 NPPES
Missouri MEDICAID 1437153921
Missouri MEDICAID 201239043

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