Herzog, Geoffrey Paul

Herzog, Geoffrey Paul is an sole proprietor health care provider with primary practice located at 6657 N Glenwood St , Boise ID 83714-1925. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Herzog, Geoffrey Paul can be contacted via phone (208) 375-0572.

Contact Information

Primary practice address
6657 N Glenwood St Boise ID 83714-1925
Phone: (208) 375-0572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D-4570 Idaho

Profile Details

NPI number 1245513688
LBN Legal business name Herzog, Geoffrey Paul
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2011
Last updated Jul 12th, 2023 - about 2 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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