Herdelin, Nils G
Herdelin, Nils G is an sole proprietor health care provider with primary practice located at 400 Kings Hwy S , Cherry Hill NJ 08034-2511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Herdelin, Nils G can be contacted via phone (856) 428-5488.Contact Information
Primary practice address
400 Kings Hwy S
Cherry Hill NJ 08034-2511
Phone: (856) 428-5488
Fax: (856) 428-6716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MA20517 | New Jersey |
Profile Details
| NPI number | 1225030877 |
|---|---|
| LBN Legal business name | Herdelin, Nils G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Aug 8th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225030877 | NPPES |
| New Jersey | MEDICAID | 2708400-2 |
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