Herold, Suzanne S

Herold, Suzanne S is an individual health care provider with primary practice located at 1411 N Taylor Dr , Sheboygan WI 53081-3043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Herold, Suzanne S can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1411 N Taylor Dr Sheboygan WI 53081-3043
Fax: (920) 496-4705
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40654020 Wisconsin

Profile Details

NPI number 1194793273
LBN Legal business name Herold, Suzanne S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 19th, 2016 - about 8 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 1194793273 NPPES
Wisconsin MEDICAID 32500800

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