Hering, Justin
Hering, Justin is an sole proprietor health care provider with primary practice located at 3333 N Seminary St , Galesburg IL 61401-1251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hering, Justin can be contacted via phone (309) 344-9403.Contact Information
Primary practice address
3333 N Seminary St
Galesburg IL 61401-1251
Phone: (309) 344-9403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036116667 | Illinois |
Profile Details
| NPI number | 1316039977 |
|---|---|
| LBN Legal business name | Hering, Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| Last updated | May 17th, 2012 - about 13 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 | 1316039977 | NPPES |
| Illinois | Other | 036116667 | IL LICENSED PHYSICIAN |
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