Herndon, William A
Herndon, William A is an individual health care provider with primary practice located at 1616 S Kelly Ave , Edmond OK 73013-3651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Herndon, William A can be contacted via phone (405) 330-0032.Contact Information
Primary practice address
1616 S Kelly Ave
Edmond OK 73013-3651
Phone: (405) 330-0032
Fax: (405) 715-8808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 14145 | Oklahoma |
Profile Details
| NPI number | 1972575306 |
|---|---|
| LBN Legal business name | Herndon, William A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Oct 24th, 2007 - about 17 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 | 1972575306 | NPPES |
| Oklahoma | Other | 200032512 | RAILROAD MEDICARE |
| Oklahoma | MEDICAID | 100020620A | RAILROAD MEDICARE |
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