Hergenroeder, Patrick Thomas
Hergenroeder, Patrick Thomas is an individual health care provider with primary practice located at 34 W Washington St , Chagrin Falls OH 44022-3026. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hergenroeder, Patrick Thomas can be contacted via phone (440) 247-2644.Contact Information
Primary practice address
34 W Washington St
Chagrin Falls OH 44022-3026
Phone: (440) 247-2644
Fax: (440) 247-0131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35-038239 | Ohio |
Profile Details
| NPI number | 1811983729 |
|---|---|
| LBN Legal business name | Hergenroeder, Patrick Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jul 8th, 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 | 1811983729 | NPPES |
| Ohio | MEDICAID | 0295845 |
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