Hermes Shantz, Heidi M
Hermes Shantz, Heidi M is an individual health care provider with primary practice located at 565 Eureka Way , Sequim WA 98382-5074. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Hermes Shantz, Heidi M can be contacted via phone (360) 582-0808.Contact Information
Primary practice address
565 Eureka Way
Sequim WA 98382-5074
Phone: (360) 582-0808
Fax: (253) 984-2049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD.6047903 | Washington |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD60479603 | Washington |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD.6047903 | Washington |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD.6047903 | Washington |
Profile Details
| NPI number | 1932338506 |
|---|---|
| LBN Legal business name | Hermes Shantz, Heidi M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2009 |
| Last updated | Jul 11th, 2023 - about 3 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 | 1932338506 | NPPES |
| Washington | MEDICAID | 2038330 |
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