Herman, David Brian

Herman, David Brian is an individual health care provider with primary practice located at 2160 S State Route 157 Suite B, Glen Carbon IL 62034-1720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Herman, David Brian can be contacted via phone (618) 692-1212.

Contact Information

Primary practice address
2160 S State Route 157 Suite B Glen Carbon IL 62034-1720
Phone: (618) 692-1212
Fax: (618) 205-4066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036088415 Illinois

Profile Details

NPI number 1205945417
LBN Legal business name Herman, David Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 2nd, 2021 - about 4 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 1205945417 NPPES
Idaho MEDICAID 036088415

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