Heringhaus, Thomas R.

Heringhaus, Thomas R. is an individual health care provider with primary practice located at 480 Glessner Ave , Mansfield OH 44903-2056. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Heringhaus, Thomas R. can be contacted via phone (419) 524-7409.

Contact Information

Primary practice address
480 Glessner Ave Mansfield OH 44903-2056
Phone: (419) 524-7409
Fax: (419) 526-3870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18512 Ohio

Profile Details

NPI number 1467430884
LBN Legal business name Heringhaus, Thomas R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
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 1467430884 NPPES
Ohio MEDICAID 3870413

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