Herndon, James H

Herndon, James H is an individual health care provider with primary practice located at 55 Fruit St Yaw 3, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Herndon, James H can be contacted via phone (617) 726-8530.

Contact Information

Primary practice address
55 Fruit St Yaw 3 Boston MA 02114-2621
Fax: (617) 726-3124
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30047 Massachusetts
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 30047 Massachusetts

Profile Details

NPI number 1326029612
LBN Legal business name Herndon, James H
Credentials MD MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 20th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326029612 NPPES
Massachusetts MEDICAID 6156002
Massachusetts Other 030047
Massachusetts Other J18482

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