Hermon, Manorama

Hermon, Manorama is an individual health care provider with primary practice located at 100 W 1St St , Rock Falls IL 61071-1269. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hermon, Manorama can be contacted via phone (815) 625-4790.

Contact Information

Primary practice address
100 W 1St St Rock Falls IL 61071-1269
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1639268766
LBN Legal business name Hermon, Manorama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1639268766 NPPES
Illinois Other 011551 HEALTH ALLIANCE MEDICAL
Illinois Other 9815737 HEALTH ALLIANCE MEDICAL

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