Hershberger, Holly Jo
Hershberger, Holly Jo is an individual health care provider with primary practice located at 37868 Us Highway 18 , Prairie Du Chien WI 53821-8416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hershberger, Holly Jo can be contacted via phone (608) 357-2000.Contact Information
Primary practice address
37868 Us Highway 18
Prairie Du Chien WI 53821-8416
Phone: (608) 357-2000
Fax: (608) 357-2254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4533-033 | Wisconsin |
Profile Details
| NPI number | 1003197997 |
|---|---|
| LBN Legal business name | Hershberger, Holly Jo |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2011 |
| Last updated | Apr 29th, 2021 - about 5 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 | 1003197997 | NPPES |
| Wisconsin | Other | 4533-033 | STATE OF WISCONSIN DEPT OF REGULATION AND LICENSING |
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