Herzog, Thiebaut Thomas

Herzog, Thiebaut Thomas is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Herzog, Thiebaut Thomas can be contacted via phone (541) 382-4321.

Contact Information

Primary practice address
2500 Ne Neff Rd Bend OR 97701-6015
Phone: (541) 382-4321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1114344058 Washington

Profile Details

NPI number 1114344058
LBN Legal business name Herzog, Thiebaut Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Nov 3rd, 2022 - about 3 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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