Herrick, Robert S

Herrick, Robert S is an sole proprietor health care provider with primary practice located at 882 W Rialto Ave , Rialto CA 92376-5658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Herrick, Robert S can be contacted via phone (909) 820-4051.

Contact Information

Primary practice address
882 W Rialto Ave Rialto CA 92376-5658
Phone: (909) 820-4051
Fax: (909) 820-4053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C24395 California

Profile Details

NPI number 1902809817
LBN Legal business name Herrick, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Jul 8th, 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 1902809817 NPPES
California MEDICAID 00C243950

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