Herndon, Robert

Herndon, Robert is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Herndon, Robert can be contacted via phone (601) 984-5500.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216
Fax: (601) 984-5499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 15210 Mississippi

Profile Details

NPI number 1124034590
LBN Legal business name Herndon, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 16th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124034590 NPPES
Mississippi Other P01233213 RAILROAD MEDICARE
Mississippi MEDICAID 0121287 RAILROAD MEDICARE

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