Herzog, John L
Herzog, John L is an sole proprietor health care provider with primary practice located at 1421 E Union St , Greenville MS 38703-3247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Herzog, John L can be contacted via phone (662) 335-0183.Contact Information
Primary practice address
1421 E Union St
Greenville MS 38703-3247
Phone: (662) 335-0183
Fax: (662) 335-7184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 09800 | Mississippi |
Profile Details
| NPI number | 1093734949 |
|---|---|
| LBN Legal business name | Herzog, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Aug 21st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093734949 | NPPES |
| Mississippi | Other | 060000624 | MEDICARE |
| Mississippi | MEDICAID | 00123017 | MEDICARE |
| Mississippi | MEDICAID | 126236001 | MEDICARE |
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