Hermanson, Mark E

Hermanson, Mark E is an individual health care provider with primary practice located at 865 Lincoln Rd Ste 400, Bettendorf IA 52722-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hermanson, Mark E can be contacted via phone (563) 359-7548.

Contact Information

Primary practice address
865 Lincoln Rd Ste 400 Bettendorf IA 52722-4159
Phone: (563) 359-7548
Fax: (563) 359-7540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22112 Iowa

Profile Details

NPI number 1639174196
LBN Legal business name Hermanson, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Nov 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639174196 NPPES
Other 4796890004 DMERC
Other 29591 DMERC
Other 19867 DMERC
Other 034785 DMERC
MEDICAID 3193615 DMERC
Other IA0137 DMERC

Popular Providers