Herrera, Jose

Herrera, Jose is an sole proprietor health care provider with primary practice located at 1095 North D Street Suite 100, San Bernardino CA 92410. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Herrera, Jose can be contacted via phone (909) 888-7649.

Contact Information

Primary practice address
1095 North D Street Suite 100 San Bernardino CA 92410
Fax: (909) 888-1955
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC27442 California

Profile Details

NPI number 1952453672
LBN Legal business name Herrera, Jose
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Dec 2nd, 2010 - about 14 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 1952453672 NPPES
California MEDICAID DC0274420

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