Hertzer, John L

Hertzer, John L is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Hertzer, John L can be contacted via phone (216) 844-3881.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-3881
Fax: (216) 844-5883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35072227 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35072227 Ohio

Profile Details

NPI number 1104885235
LBN Legal business name Hertzer, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Jan 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104885235 NPPES
Ohio MEDICAID 2203930
Ohio MEDICAID 0943457
Ohio Other 000000224416
Ohio Other 000000532997
Ohio Other 363633
Ohio Other 7032237

Popular Providers