Herrera, John

Herrera, John is an individual health care provider with primary practice located at 413 Lilly Rd Ne , Olympia WA 98506-5133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Herrera, John can be contacted via phone (360) 491-9480.

Contact Information

Primary practice address
413 Lilly Rd Ne Olympia WA 98506-5133
Phone: (360) 491-9480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1016774 Washington

Profile Details

NPI number 1467493767
LBN Legal business name Herrera, John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 27th, 2007 - about 17 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 1467493767 NPPES
Other 8935586 WA CRIME VICTIMS
Other 0153539 WA CRIME VICTIMS
Other A012 WA CRIME VICTIMS
Other 1659HE WA CRIME VICTIMS
MEDICAID 8358236 WA CRIME VICTIMS

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