Herrington, Sandra J

Herrington, Sandra J is an individual health care provider with primary practice located at 803 W Market St Suite 100, Lima OH 45805-2796. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Herrington, Sandra J can be contacted via phone (419) 996-5063.

Contact Information

Primary practice address
803 W Market St Suite 100 Lima OH 45805-2796
Fax: (419) 996-5502
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 35-087145 Ohio

Profile Details

NPI number 1104809904
LBN Legal business name Herrington, Sandra J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jul 26th, 2016 - about 9 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 1104809904 NPPES
Ohio MEDICAID 2686240
Ohio Other 1104809904
Ohio Other P00695742
Ohio Other HE4185204

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