Hershberger, Daryl L

Hershberger, Daryl L is an individual health care provider with primary practice located at 2120 N Detroit St , Lagrange IN 46761-1147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hershberger, Daryl L can be contacted via phone (260) 463-2468.

Contact Information

Primary practice address
2120 N Detroit St Lagrange IN 46761-1147
Phone: (260) 463-2468
Fax: (260) 463-4237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01037748A Indiana

Profile Details

NPI number 1972728202
LBN Legal business name Hershberger, Daryl L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jul 27th, 2022 - about 2 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 1972728202 NPPES
Indiana Other 8757 PHP
Indiana Other 000000299462 PHP
Indiana MEDICAID 100159830A PHP

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