Hertzer, Julie Anne

Hertzer, Julie Anne is an individual health care provider with primary practice located at 3733 Park East Dr Suite 102, Beachwood OH 44122-4338. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hertzer, Julie Anne can be contacted via phone (216) 591-1515.

Contact Information

Primary practice address
3733 Park East Dr Suite 102 Beachwood OH 44122-4338
Fax: (216) 591-1544
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35072228 Ohio

Profile Details

NPI number 1417943606
LBN Legal business name Hertzer, Julie Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1417943606 NPPES
Ohio MEDICAID 2016151

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