Herron, Jerry

Herron, Jerry is an sole proprietor health care provider with primary practice located at 817 Desi Loop , Belen NM 87002-8068. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Herron, Jerry can be contacted via phone (575) 835-4357.

Contact Information

Primary practice address
817 Desi Loop Belen NM 87002-8068
Phone: (575) 835-4357
Fax: (505) 514-0732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1982349338
LBN Legal business name Herron, Jerry
Credentials CCSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2022
Last updated Apr 30th, 2022 - 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.

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