Herman, Angela C

Herman, Angela C is an individual health care provider with primary practice located at 615 N Michigan St 4Th Fl, South Bend IN 46601-1033. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Herman, Angela C can be contacted via phone (574) 647-6892.

Contact Information

Primary practice address
615 N Michigan St 4Th Fl South Bend IN 46601-1033
Fax: (574) 647-6895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 53104 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 01077087A Indiana

Profile Details

NPI number 1043441231
LBN Legal business name Herman, Angela C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Apr 28th, 2023 - about 2 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 1043441231 NPPES
Indiana MEDICAID 201374370

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