Herring, Mark O

Herring, Mark O is an individual health care provider with primary practice located at 1 Hayden Bridge Way , Springfield OR 97477-1347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Herring, Mark O can be contacted via phone (541) 868-9430.

Contact Information

Primary practice address
1 Hayden Bridge Way Springfield OR 97477-1347
Fax: (541) 868-9450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD14992 Oregon

Profile Details

NPI number 1689636284
LBN Legal business name Herring, Mark O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Apr 26th, 2021 - 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 1689636284 NPPES
Oregon Other P00429062 RAILROAD MEDICARE
Oregon MEDICAID 103051 RAILROAD MEDICARE

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