Herford, Baron Vance

Herford, Baron Vance is an individual health care provider with primary practice located at 1 Medical Center Blvd , Cookeville TN 38501-4294. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Herford, Baron Vance can be contacted via phone (931) 372-2770.

Contact Information

Primary practice address
1 Medical Center Blvd Cookeville TN 38501-4294
Phone: (931) 372-2770
Fax: (931) 525-1176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20998 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2847 Tennessee

Profile Details

NPI number 1710203955
LBN Legal business name Herford, Baron Vance
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Sep 10th, 2018 - about 6 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 1710203955 NPPES
Mississippi Other P00951695 RAILROAD MEDICARE
Mississippi Other 302I116832 RAILROAD MEDICARE
Mississippi MEDICAID 05005793 RAILROAD MEDICARE

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