Herd, Edwin P.

Herd, Edwin P. is an individual health care provider with primary practice located at 78-6831 Ali'I Drive Suite 328, Kailua-Kona HI 96740. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Herd, Edwin P. can be contacted via phone (808) 747-8321.

Contact Information

Primary practice address
78-6831 Ali'I Drive Suite 328 Kailua-Kona HI 96740
Phone: (808) 747-8321
Fax: (808) 322-2502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9701763 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD14428 Hawaii
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 4880 South Dakota
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 11963 Nevada

Profile Details

NPI number 1215985320
LBN Legal business name Herd, Edwin P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 14th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215985320 NPPES
South Dakota MEDICAID 6701490
South Dakota MEDICAID 002019516
South Dakota MEDICAID 891113Q
South Dakota MEDICAID 613100

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