Herrmann, John R
Herrmann, John R is an individual health care provider with primary practice located at 4503 1St Avenue Box 98 , Kearney NE 68848. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Herrmann, John R can be contacted via phone (308) 236-5421.Contact Information
Primary practice address
4503 1St Avenue Box 98
Kearney NE 68848
Phone: (308) 236-5421
Fax: (308) 234-9843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4317 | Nebraska |
Profile Details
| NPI number | 1699855460 |
|---|---|
| LBN Legal business name | Herrmann, John R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699855460 | NPPES |
| Nebraska | MEDICAID | 47056098300 |
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