Hermanson, Joshua

Hermanson, Joshua is an sole proprietor health care provider with primary practice located at 2028 E Riverside Blvd Suite 210, Loves Park IL 61111-4804. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hermanson, Joshua can be contacted via phone (815) 877-4300.

Contact Information

Primary practice address
2028 E Riverside Blvd Suite 210 Loves Park IL 61111-4804
Phone: (815) 877-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.030835 Illinois

Profile Details

NPI number 1477906345
LBN Legal business name Hermanson, Joshua
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2016
Last updated Jul 15th, 2016 - about 9 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 1477906345 NPPES
Illinois Other 019.030835 DENTIST

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