Herrmann, William Frederick

Herrmann, William Frederick is an individual health care provider with primary practice located at 234 E 17Th St Suite #104, Costa Mesa CA 92627-3825. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Herrmann, William Frederick can be contacted via phone (949) 855-4634.

Contact Information

Primary practice address
234 E 17Th St Suite #104 Costa Mesa CA 92627-3825
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3248 California

Profile Details

NPI number 1295821288
LBN Legal business name Herrmann, William Frederick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 4th, 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 1295821288 NPPES
Other 480010316 RAILROAD MEDICARE

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