Herald, Carlton Wayne
Herald, Carlton Wayne is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Herald, Carlton Wayne can be contacted via phone (740) 446-5533.Contact Information
Primary practice address
100 Jackson Pike
Gallipolis OH 45631-1560
Phone: (740) 446-5533
Fax: (740) 441-3318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34.007166 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1984 | West Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34.007166 | Ohio |
Profile Details
| NPI number | 1053302836 |
|---|---|
| LBN Legal business name | Herald, Carlton Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053302836 | NPPES |
| West Virginia | MEDICAID | 2005609000 | |
| West Virginia | MEDICAID | 2168890 | |
| West Virginia | Other | 00427029 | |
| West Virginia | MEDICAID | 64071467 |
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