Herzog, George Howard

Herzog, George Howard is an individual health care provider with primary practice located at 4150 Clement St G1-111B1 , San Francisco CA 94121. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Herzog, George Howard can be contacted via phone (415) 221-4810.

Contact Information

Primary practice address
4150 Clement St G1-111B1 San Francisco CA 94121
Phone: (415) 221-4810
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 4606 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 4606 California

Profile Details

NPI number 1245739283
LBN Legal business name Herzog, George Howard
Credentials RN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2018
Last updated Feb 5th, 2018 - about 8 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 1245739283 NPPES
California Other 2016008577 ANCC ADULT-GERONTOLOGY CNS CERTIFICATION
California Other 493597 ANCC ADULT-GERONTOLOGY CNS CERTIFICATION
California Other 4606 ANCC ADULT-GERONTOLOGY CNS CERTIFICATION

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