Hereth, James Raymond

Hereth, James Raymond is an individual health care provider with primary practice located at 818 Ellicott St , Buffalo NY 14203-1021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Hereth, James Raymond can be contacted via phone (716) 323-0200.

Contact Information

Primary practice address
818 Ellicott St Buffalo NY 14203-1021
Phone: (716) 323-0200
Fax: (716) 323-0293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 247895 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 247895 New York

Profile Details

NPI number 1912161530
LBN Legal business name Hereth, James Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2008
Last updated Jan 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912161530 NPPES
New York MEDICAID 03103335

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