Herrera, John

Herrera, John is an individual health care provider with primary practice located at 413 Lilly Rd Ne , Olympia WA 98506-5133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Herrera, John can be contacted via phone (360) 491-9480.

Contact Information

Primary practice address

413 Lilly Rd Ne Olympia WA 98506-5133

Phone: (360) 491-9480

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant	363A00000X	1016774	Washington

Profile Details

NPI number	1467493767
LBN Legal business name	Herrera, John
Credentials	Physician Assistant (PA)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 9th, 2006
Last updated	Nov 27th, 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

State	Type	Number	Issuer
All States	NPI	1467493767	NPPES
	Other	8935586	WA CRIME VICTIMS
	Other	0153539	WA CRIME VICTIMS
	Other	A012	WA CRIME VICTIMS
	Other	1659HE	WA CRIME VICTIMS
	MEDICAID	8358236	WA CRIME VICTIMS

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