Herzog, Jo Lynne

Herzog, Jo Lynne is an individual health care provider with primary practice located at 521 Montgomery Hwy Suite 117, Birmingham AL 35216-1878. 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 (205) 824-4441.

Contact Information

Primary practice address
521 Montgomery Hwy Suite 117 Birmingham AL 35216-1878
Phone: (205) 824-4441
Fax: (205) 822-3978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 Oct 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295828309 NPPES
Alabama Other 515-12103 BC BS OF AL

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