Herndon, Gerrod

Herndon, Gerrod is an sole proprietor health care provider with primary practice located at 603 D St , San Rafael CA 94901-3719. He recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as his primary health care specialty. Herndon, Gerrod can be contacted via phone (707) 331-5575.

Contact Information

Primary practice address
603 D St San Rafael CA 94901-3719
Phone: (707) 331-5575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 15464 California

Profile Details

NPI number 1689368615
LBN Legal business name Herndon, Gerrod
Credentials SUDRC #15464
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2023
Last updated Jun 5th, 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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