Herrera, Jorge L

Herrera, Jorge L is an individual health care provider with primary practice located at 75 S University Blvd Ucom 6000 B, Mobile AL 36688-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Herrera, Jorge L can be contacted via phone (251) 660-5555.

Contact Information

Primary practice address
75 S University Blvd Ucom 6000 B Mobile AL 36688-0002
Phone: (251) 660-5555
Fax: (251) 660-5559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 14475 Alabama

Profile Details

NPI number 1316986193
LBN Legal business name Herrera, Jorge L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated May 11th, 2015 - about 11 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 1316986193 NPPES
Alabama MEDICAID 000080733
Alabama MEDICAID 00121491
Alabama MEDICAID 255637500
Alabama Other 29-10130
Alabama Other 51080733

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