Stoller, Herschel E

Stoller, Herschel E is an individual health care provider with primary practice located at 10110 Nicholas St Suite #103, Omaha NE 68114-2184. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Stoller, Herschel E can be contacted via phone (402) 398-9200.

Contact Information

Primary practice address
10110 Nicholas St Suite #103 Omaha NE 68114-2184
Phone: (402) 398-9200
Fax: (402) 398-9400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X NE13516 Nebraska
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X NE13516 Nebraska
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X NE13516 Nebraska

Profile Details

NPI number 1356324495
LBN Legal business name Stoller, Herschel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Feb 18th, 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 1356324495 NPPES
Nebraska MEDICAID 47064032502

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