Herndon, Richard G.
Herndon, Richard G. is an sole proprietor health care provider with primary practice located at 401 Matthew St Emergency Department, Marietta OH 45750-1635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Herndon, Richard G. can be contacted via phone (740) 376-1939.Contact Information
Primary practice address
401 Matthew St Emergency Department
Marietta OH 45750-1635
Phone: (740) 376-1939
Fax: (740) 374-1693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34-003055 | Ohio |
Profile Details
| NPI number | 1417983206 |
|---|---|
| LBN Legal business name | Herndon, Richard G. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Feb 20th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417983206 | NPPES |
| Ohio | MEDICAID | 0050544000 | |
| Ohio | MEDICAID | 0523795 |
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