Hertzog, Thomas
Hertzog, Thomas is an individual health care provider with primary practice located at 222 9Th Ave W , Alexandria MN 56308-2221. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hertzog, Thomas can be contacted via phone (320) 736-3912.Contact Information
Primary practice address
222 9Th Ave W
Alexandria MN 56308-2221
Phone: (320) 736-3912
Fax: (320) 763-6629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303328 | Minnesota |
Profile Details
| NPI number | 1164895124 |
|---|---|
| LBN Legal business name | Hertzog, Thomas |
| Credentials | BS, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2015 |
| Last updated | Nov 12th, 2015 - about 10 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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