Herod, Jerrell Waika
Herod, Jerrell Waika is an individual health care provider with primary practice located at 10103 Ridgegate Pkwy Ste 103 , Lone Tree CO 80124-5524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Herod, Jerrell Waika can be contacted via phone (303) 645-0090.Contact Information
Primary practice address
10103 Ridgegate Pkwy Ste 103
Lone Tree CO 80124-5524
Phone: (303) 645-0090
Fax: (303) 645-0092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 53179 | Colorado |
Profile Details
| NPI number | 1982870481 |
|---|---|
| LBN Legal business name | Herod, Jerrell Waika |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | Jan 13th, 2022 - about 3 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 | 1982870481 | NPPES |
| Colorado | MEDICAID | 45979847 |
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