Hermanson, Gerald H.
Hermanson, Gerald H. is an sole proprietor health care provider with primary practice located at 2617B 12Th Ct Sw Ste 5 , Olympia WA 98502-5714. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hermanson, Gerald H. can be contacted via phone (360) 754-9870.Contact Information
Primary practice address
2617B 12Th Ct Sw Ste 5
Olympia WA 98502-5714
Phone: (360) 754-9870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00001106 | Washington |
Profile Details
| NPI number | 1831150499 |
|---|---|
| LBN Legal business name | Hermanson, Gerald H. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Oct 17th, 2007 - about 17 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 | 1831150499 | NPPES |
| Washington | Other | 8902573 | L&I CRIME VICTIMS WA |
| Washington | Other | 0004239 | L&I CRIME VICTIMS WA |
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