Herrin, Rodney J

Herrin, Rodney J is an individual health care provider with primary practice located at 1301 S Koke Mill Rd , Springfield IL 62711-9252. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Herrin, Rodney J can be contacted via phone (217) 547-9100.

Contact Information

Primary practice address
1301 S Koke Mill Rd Springfield IL 62711-9252
Fax: (217) 547-9247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036075423 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036075423 Illinois

Profile Details

NPI number 1407835457
LBN Legal business name Herrin, Rodney J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Apr 13th, 2020 - about 4 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 1407835457 NPPES
Illinois MEDICAID 036075423
Illinois Other 200026705

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