Heroldt, John Thomas
Heroldt, John Thomas is an sole proprietor health care provider with primary practice located at 717 Michigan Ave , La Porte IN 46350-3371. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heroldt, John Thomas can be contacted via phone (219) 874-2518.Contact Information
Primary practice address
717 Michigan Ave
La Porte IN 46350-3371
Phone: (219) 874-2518
Fax: (219) 756-8945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040372A | Indiana |
Profile Details
| NPI number | 1699794644 |
|---|---|
| LBN Legal business name | Heroldt, John Thomas |
| Credentials | ED.D., HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Dec 14th, 2007 - about 18 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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