Hergenroeder, Paul F

Hergenroeder, Paul F is an individual health care provider with primary practice located at 17876 Saint Clair Ave , Cleveland OH 44110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Hergenroeder, Paul F can be contacted via phone (216) 383-2222.

Contact Information

Primary practice address
17876 Saint Clair Ave Cleveland OH 44110
Phone: (216) 383-2222
Fax: (216) 298-0241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 35.087486 Ohio
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35.087486 Ohio

Profile Details

NPI number 1942206388
LBN Legal business name Hergenroeder, Paul F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jun 26th, 2019 - about 5 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 1942206388 NPPES
Pennsylvania Other 140052 PA GROUP
Pennsylvania Other 0159 PA GROUP
Pennsylvania MEDICAID 1010757980001 PA GROUP

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