Hergenroeder, Patrick Thomas

Hergenroeder, Patrick Thomas is an individual health care provider with primary practice located at 34 W Washington St , Chagrin Falls OH 44022-3026. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hergenroeder, Patrick Thomas can be contacted via phone (440) 247-2644.

Contact Information

Primary practice address
34 W Washington St Chagrin Falls OH 44022-3026
Phone: (440) 247-2644
Fax: (440) 247-0131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35-038239 Ohio

Profile Details

NPI number 1811983729
LBN Legal business name Hergenroeder, Patrick Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2007 - about 19 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 1811983729 NPPES
Ohio MEDICAID 0295845

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