Herbolsheimer, Judy E

Herbolsheimer, Judy E is an individual health care provider with primary practice located at 25 M 55 E , Tawas City MI 48763-9362. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Herbolsheimer, Judy E can be contacted via phone (989) 362-8691.

Contact Information

Primary practice address
25 M 55 E Tawas City MI 48763-9362
Phone: (989) 362-8691
Fax: (989) 362-7290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5601004037 Michigan

Profile Details

NPI number 1861480600
LBN Legal business name Herbolsheimer, Judy E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Apr 6th, 2021 - about 5 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 1861480600 NPPES
Michigan MEDICAID 3043530

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