Herzog, Thomas

Herzog, Thomas is an individual health care provider with primary practice located at 2139 Auburn Ave , Cincinnati OH 45219-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Herzog, Thomas can be contacted via phone (513) 585-2323.

Contact Information

Primary practice address
2139 Auburn Ave Cincinnati OH 45219-2906
Phone: (513) 585-2323
Fax: (513) 585-4893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 231790-1 New York
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 35 057399 Ohio

Profile Details

NPI number 1619909850
LBN Legal business name Herzog, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 24th, 2016 - about 9 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 1619909850 NPPES
Ohio Other 0107031 MEDICAID
Ohio Other 7100315370 MEDICAID
Ohio MEDICAID 02561113 MEDICAID
Ohio Other 201249540 MEDICAID

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