Herath, John F

Herath, John F is an individual health care provider with primary practice located at 3111 Gundersen Dr , Onalaska WI 54650-8447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Herath, John F can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
3111 Gundersen Dr Onalaska WI 54650-8447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42729 Wisconsin

Profile Details

NPI number 1740286913
LBN Legal business name Herath, John F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 2nd, 2015 - 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 1740286913 NPPES
Wisconsin MEDICAID 34043800

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