Herfindahl, Gary Allen
Herfindahl, Gary Allen is an sole proprietor health care provider with primary practice located at 908 Pine St , Mount Shasta CA 96067-2143. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Herfindahl, Gary Allen can be contacted via phone (530) 926-3161.Contact Information
Primary practice address
908 Pine St
Mount Shasta CA 96067-2143
Phone: (530) 926-3161
Fax: (530) 926-0406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | G51667 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G51667 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G51667 | California |
Profile Details
| NPI number | 1336164771 |
|---|---|
| LBN Legal business name | Herfindahl, Gary Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1336164771 | NPPES |
| California | Other | 00G516670 | BLUE SHIELD OF CALIFORNIA |
| California | MEDICAID | 172614 | BLUE SHIELD OF CALIFORNIA |
| California | MEDICAID | 00G516670 | BLUE SHIELD OF CALIFORNIA |
| California | Other | 0662956 | BLUE SHIELD OF CALIFORNIA |
| California | Other | G51667 | BLUE SHIELD OF CALIFORNIA |
| California | Other | 00G516670 | BLUE SHIELD OF CALIFORNIA |
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