Herberholz, Lawrence J
Herberholz, Lawrence J is an sole proprietor health care provider with primary practice located at 911 S Broad St , Scottsboro AL 35768-2509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Herberholz, Lawrence J can be contacted via phone (256) 259-0185.Contact Information
Primary practice address
911 S Broad St
Scottsboro AL 35768-2509
Phone: (256) 259-0185
Fax: (256) 259-0317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23961 | Alabama |
Profile Details
| NPI number | 1619977378 |
|---|---|
| LBN Legal business name | Herberholz, Lawrence J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Feb 6th, 2013 - about 12 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 | 1619977378 | NPPES |
| Alabama | MEDICAID | 009990335 | |
| Alabama | MEDICAID | 529923150 | |
| Alabama | Other | 51524140 |
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