Herzog, Jo Lynne
Herzog, Jo Lynne is an individual health care provider with primary practice located at 1360 Montgomery Hwy Ste 114 , Vestavia Hills AL 35216-2750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Herzog, Jo Lynne can be contacted via phone (053) 790-9002.Contact Information
Primary practice address
1360 Montgomery Hwy Ste 114
Vestavia Hills AL 35216-2750
Phone: (053) 790-9002
Fax: (205) 206-6576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 00013828 | Alabama |
Profile Details
| NPI number | 1295828309 |
|---|---|
| LBN Legal business name | Herzog, Jo Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Apr 11th, 2025 - about last year |
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 | 1295828309 | NPPES |
| Alabama | Other | 515-12103 | BC BS OF AL |
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