Herman, Edward P.

Herman, Edward P. is an individual health care provider with primary practice located at 77 W Forest Ave Suite 101, Flagstaff AZ 86001-1482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Herman, Edward P. can be contacted via phone (928) 773-2515.

Contact Information

Primary practice address
77 W Forest Ave Suite 101 Flagstaff AZ 86001-1482
Phone: (928) 773-2515
Fax: (928) 773-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15284 Arizona

Profile Details

NPI number 1578518957
LBN Legal business name Herman, Edward P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Apr 7th, 2011 - about 14 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 1578518957 NPPES
Arizona MEDICAID 266214
Arizona Other AZ0048350

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