Herron, Gail C
Herron, Gail C is an sole proprietor health care provider with primary practice located at 2400 Southeast Blvd , Salem OH 44460-3481. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Herron, Gail C can be contacted via phone (330) 332-8801.Contact Information
Primary practice address
2400 Southeast Blvd
Salem OH 44460-3481
Phone: (330) 332-8801
Fax: (330) 332-5447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OH2889 | Ohio |
Profile Details
| NPI number | 1578618989 |
|---|---|
| LBN Legal business name | Herron, Gail C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Feb 20th, 2008 - about 16 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 | 1578618989 | NPPES |
| Ohio | MEDICAID | 0339824 |
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