Herzog, Craig
Herzog, Craig is an individual health care provider with primary practice located at 356 S Main St , Blanding UT 84511-3830. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Herzog, Craig can be contacted via phone (435) 678-2992.Contact Information
Primary practice address
356 S Main St
Blanding UT 84511-3830
Phone: (435) 678-2992
Fax: (435) 678-3116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 271664-3501 | Utah |
Profile Details
| NPI number | 1639365026 |
|---|---|
| LBN Legal business name | Herzog, Craig |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2007 |
| Last updated | Mar 24th, 2010 - about 16 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 | 1639365026 | NPPES |
| Idaho | Other | X6918 | BLUE CROSS OF IDAHO |
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