Hermiston, Michelle L.

Hermiston, Michelle L. is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Hermiston, Michelle L. can be contacted via phone (415) 476-3831.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Phone: (415) 476-3831
Fax: (415) 353-2657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A68937 California
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X A68937 California

Profile Details

NPI number 1932142296
LBN Legal business name Hermiston, Michelle L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 4th, 2023 - about 2 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 1932142296 NPPES
California MEDICAID 00A689370

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