Fellerman, Herbert

Fellerman, Herbert is an sole proprietor health care provider with primary practice located at 183 Market St , Kingston PA 18704-5444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Fellerman, Herbert can be contacted via phone (570) 714-9322.

Contact Information

Primary practice address
183 Market St Kingston PA 18704-5444
Phone: (570) 714-9322
Fax: (570) 714-8750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MDO10836E Pennsylvania

Profile Details

NPI number 1376648444
LBN Legal business name Fellerman, Herbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Jul 9th, 2007 - about 17 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 1376648444 NPPES
Pennsylvania MEDICAID 0006517730005

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