Heredia, Dagoberto
Heredia, Dagoberto is an individual health care provider with primary practice located at 346 Maine St Ste 150 , Lawrence KS 66044-1393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Heredia, Dagoberto can be contacted via phone (785) 841-7297.Contact Information
Primary practice address
346 Maine St Ste 150
Lawrence KS 66044-1393
Phone: (785) 841-7297
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 08-00268 | Kansas |
Profile Details
| NPI number | 1558395467 |
|---|---|
| LBN Legal business name | Heredia, Dagoberto |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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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