Herrold, George Warren

Herrold, George Warren is an sole proprietor health care provider with primary practice located at 5100 Board Rd , Mount Wolf PA 17347-9559. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Herrold, George Warren can be contacted via phone (717) 266-6694.

Contact Information

Primary practice address
5100 Board Rd Mount Wolf PA 17347-9559
Phone: (717) 266-6694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS020745L Pennsylvania

Profile Details

NPI number 1285668418
LBN Legal business name Herrold, George Warren
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Apr 6th, 2012 - about 12 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 1285668418 NPPES
Pennsylvania MEDICAID 0005835100002

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