Herman, Christine M

Herman, Christine M is an individual health care provider with primary practice located at 10215 Auburn Park Dr , Fort Wayne IN 46825-2387. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Herman, Christine M can be contacted via phone (260) 234-5400.

Contact Information

Primary practice address
10215 Auburn Park Dr Fort Wayne IN 46825-2387
Phone: (260) 234-5400
Fax: (260) 234-5110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601003497 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002540A Indiana

Profile Details

NPI number 1376502971
LBN Legal business name Herman, Christine M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jan 13th, 2021 - about 3 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 1376502971 NPPES
Michigan Other 5601003497 LICENSE #

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