Herron, Mark D

Herron, Mark D is an sole proprietor health care provider with primary practice located at 7260 Halcyon Summit Dr , Montgomery AL 36117-7047. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Herron, Mark D can be contacted via phone (334) 277-3332.

Contact Information

Primary practice address
7260 Halcyon Summit Dr Montgomery AL 36117-7047
Phone: (334) 277-3332
Fax: (334) 277-3522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 21157 Alabama
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 21157 Alabama

Profile Details

NPI number 1942271812
LBN Legal business name Herron, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Apr 14th, 2010 - about 15 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 1942271812 NPPES
Alabama MEDICAID 529923240

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