George R Herron Jr Md Inc
LBN: George R Herron Jr Md Inc
George R Herron Jr Md Inc is an health care organization with primary practice located at 1610 N El Dorado St Ste 17 , Stockton CA 95204-5930. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
George R Herron Jr Md Inc can be contacted via phone (209) 465-5107, or through Herron, George via phone (209) 465-5107.
Contact Information
Primary practice address
1610 N El Dorado St Ste 17
Stockton CA 95204-5930
Phone: (209) 465-5107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X |
Profile Details
| NPI number | 1518040799 |
|---|---|
| LBN Legal business name | George R Herron Jr Md Inc |
| DBA Doing business as | |
| Authorized official | Herron, George Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Feb 2nd, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518040799 | NPPES |
| California | MEDICAID | 00G100820 |
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