Herman, Brant
Herman, Brant is an sole proprietor health care provider with primary practice located at 306 W 5Th Ave , Nome AK 99762. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Herman, Brant can be contacted via phone (907) 443-3314.Contact Information
Primary practice address
306 W 5Th Ave
Nome AK 99762
Phone: (907) 443-3314
Fax: (907) 443-2847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 1399 | Alaska |
Profile Details
| NPI number | 1033489125 |
|---|---|
| LBN Legal business name | Herman, Brant |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2012 |
| Last updated | Jan 5th, 2012 - about 12 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 | 1033489125 | NPPES |
| Alaska | MEDICAID | PH90000 |
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