Herring, Michael Douglas

Herring, Michael Douglas is an individual health care provider with primary practice located at 821 N Cobb St , Milledgeville GA 31061-2343. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Herring, Michael Douglas can be contacted via phone (478) 457-2036.

Contact Information

Primary practice address
821 N Cobb St Milledgeville GA 31061-2343
Phone: (478) 457-2036
Fax: (478) 457-2042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN141204 Georgia

Profile Details

NPI number 1811022627
LBN Legal business name Herring, Michael Douglas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jun 16th, 2010 - about 15 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 1811022627 NPPES
Georgia Other P00393885 MCRB RR
Georgia MEDICAID 180929554A MCRB RR

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