Herron, George
Herron, George is an individual health care provider with primary practice located at 1610 N El Dorado St Suite 17, Stockton CA 95204-5930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Herron, George can be contacted via phone (209) 465-5107.Contact Information
Primary practice address
1610 N El Dorado St Suite 17
Stockton CA 95204-5930
Phone: (209) 465-5107
Fax: (209) 465-7653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G10082 | California |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G10082 | California |
Profile Details
| NPI number | 1144217654 |
|---|---|
| LBN Legal business name | Herron, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | May 30th, 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 | 1144217654 | NPPES |
| California | MEDICAID | 00G100820 |
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