Herold, Creston C
Herold, Creston C is an individual health care provider with primary practice located at 6375 Mercury Dr Suite 200, Mechanicsburg PA 17050-5282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Herold, Creston C can be contacted via phone (717) 620-2500.Contact Information
Primary practice address
6375 Mercury Dr Suite 200
Mechanicsburg PA 17050-5282
Phone: (717) 620-2500
Fax: (717) 620-2511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 024004E | Pennsylvania |
Profile Details
| NPI number | 1184610289 |
|---|---|
| LBN Legal business name | Herold, Creston C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Apr 22nd, 2010 - about 15 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 | 1184610289 | NPPES |
| Pennsylvania | MEDICAID | 0008570340003 |
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