Herrin, Eugene Van

Herrin, Eugene Van is an individual health care provider with primary practice located at 740 Prince Ave Bldg 3, Athens GA 30606-5908. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Herrin, Eugene Van can be contacted via phone (706) 548-4272.

Contact Information

Primary practice address
740 Prince Ave Bldg 3 Athens GA 30606-5908
Phone: (706) 548-4272
Fax: (706) 548-9181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11369 Georgia

Profile Details

NPI number 1578629564
LBN Legal business name Herrin, Eugene Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 9th, 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 1578629564 NPPES
Georgia Other 237707 BCBS NUMBER
Georgia MEDICAID 00114265B BCBS NUMBER

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