Herold, Edward Everett

Herold, Edward Everett is an individual health care provider with primary practice located at 1555 Soquel Dr , Santa Cruz CA 95065-1705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Herold, Edward Everett can be contacted via phone (831) 462-7700.

Contact Information

Primary practice address
1555 Soquel Dr Santa Cruz CA 95065-1705
Phone: (831) 462-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G79072 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G79072 California

Profile Details

NPI number 1154371177
LBN Legal business name Herold, Edward Everett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Apr 7th, 2011 - about 13 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 1154371177 NPPES
California MEDICAID 00G790720

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