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
Phone: (617) 726-8530
Fax: (617) 726-3124
Website:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1326029612 | NPPES |
| Massachusetts | MEDICAID | 6156002 | |
| Massachusetts | Other | 030047 | |
| Massachusetts | Other | J18482 |
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