Herzog, James P.

Herzog, James P. is an sole proprietor health care provider with primary practice located at 2423 Cornell Ave , Butte MT 59701-3848. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Herzog, James P. can be contacted via phone (406) 494-7033.

Contact Information

Primary practice address
2423 Cornell Ave Butte MT 59701-3848
Phone: (406) 494-7033
Fax: (406) 494-8256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1832 Montana

Profile Details

NPI number 1649378662
LBN Legal business name Herzog, James P.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
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 1649378662 NPPES
Montana MEDICAID 130273
Montana Other 18324

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