Herland, Jonathan S

Herland, Jonathan S is an individual health care provider with primary practice located at 198 High St , Caribou ME 04736-1836. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Herland, Jonathan S can be contacted via phone (855) 927-7246.

Contact Information

Primary practice address
198 High St Caribou ME 04736-1836
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME115644 Florida
Other Service Providers / Specialist 174400000X 015192 Maine

Profile Details

NPI number 1295788081
LBN Legal business name Herland, Jonathan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 19th, 2018 - about 8 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 1295788081 NPPES
Maine Other 7014011 AETNA
Maine Other 039403 AETNA
Maine Other G88039 AETNA
Maine Other 720000129 AETNA
Maine MEDICAID 155430000 AETNA

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