Herdener, Richard S
Herdener, Richard S is an individual health care provider with primary practice located at 120 S Olive Ave # 116 , West Palm Beach FL 33401-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Herdener, Richard S can be contacted via phone (561) 223-6268.Contact Information
Primary practice address
120 S Olive Ave # 116
West Palm Beach FL 33401-5501
Phone: (561) 223-6268
Fax: (561) 223-6239
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00023695 | Washington |
Profile Details
NPI number | 1457326365 |
---|---|
LBN Legal business name | Herdener, Richard S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2006 |
Last updated | Apr 12th, 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 | 1457326365 | NPPES |
Washington | MEDICAID | 1030170 | |
Washington | Other | O1942 |
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